NUR 265 TEST 3 QUESTIONS AND ANSWERS

NUR 265 TEST 3 QUESTIONS AND ANSWERS What causes Autonomic Dysreflexia - ANS ️️ Stimulation at level of T6 or above What are some examples of triggers of autonomic dysreflexia - ANS ️️ restrictive clothing; full bladder/neurogenic bladder; fecal impaction; directive pressure s/a sitting in the wheel chair signs and systems of Autonomic Dysreflexia - ANS ️️ hypertension, flushed face, headaches, JVD, bradycardic, diaphoresis, pale ext below the level of T6, nausea, dilated pupils, blurred vision, restlessness What is the purpose of fluid resuscitation for a burn victim - ANS ️️ maintain vital organ perfusion, reduce edema, minimize effects of fluid shifts, prevent hypovolemic shock What IV solution is commonly used to resuscitate a pt with a burn - ANS ️️ Lactated ringers Chemical burns should be irrigated until - ANS ️️ 20 minutes or the burn sensation continues after the 20 minute marker what would you use to remove hot tar or asphalt - ANS ️️ citrus petroleum jelly ex; medisol petroleum jelly antibiotic ointment what kind of brain injury would you expect if an adult client is positive for Palmer's infant reflexes - ANS ️️ cortical and premotor cortex damage what kind of brain injury would you expect if an adult client is positive for plantar infant reflexes - ANS ️️ upper motor neuron lesion what kind of brain injury would you expect if an adult client is positive for rooting infant reflex - ANS ️️ frontal lobe damage what kind of brain injury would you expect if an adult client is positive for sucking infant reflex - ANS ️️ Advance dementia; cortical brain damage what kind of brain injury would you expect if an adult client is positive for glabella (persistent blinking) infant reflex - ANS ️️ diffuse cortical dysfunction What is the consensus formula for burns - ANS ️️ 2-4 ml X TBSA X KG What S&S are expected for a burn client who is receiving the first 8 hours of fluid resuscitation - ANS ️️ Restlessness, anxiety, Hypothermia how much fluid replacement are you going to give the first 8 hours - ANS ️️ 1/2 of the fluid consensus What do you need to monitor when resuscitating fluids for burn pt to make sure that it is working - ANS ️️ Urine outpu