1
NR
NR 574 FINAL EXAM HYPOTHERMIA, BURNS
& NEAR DROWNING QUESTIONS WITH CORRECT
VERIFIED SOLUTIONS 100% GUARANTEED PASS
1. indicators for poor prognosis following near drowning
situation.: Submersion or resuscitation lasting more than 25
minutes, apnea, pH < 7.41, and Glasgow coma scale (GCS) < 5
are poor prognostic signs.
2. clinical findings of near drowning patient: panic and
agitation lethargy, stupor, or coma
hypothermia hypotension cyanosis pulmonary edema
bradycardia or tachycardia arrhythmia cardiac arrest
secondary traumatic injuries (paresthesia, paralysis,
extremity deformity, etc.)
3. Management near drowning and post drowning: -
intubation/supplemental 02 -remove all wet clothes
-fluid and electrolyte replacement as needed w/ serial BMP
-NG/OG for gastric decompression (if aspirated, can quickly lead
to PNA) -minimum of 6-8 hrs tele monitoring
-
NR 574
, 2
NR
4. Guiselle is an 18-year-old female who was admitted 8
hours ago after a near-drowning incident. EMS reports that
she fell into a swimming pool at a party and was unable to
swim. It was reported that a family member rescued her from
underwater after she had been submerged for approximately
2 minutes. She arrived with oxygen at 5 Liters (L) via nasal
cannula. Now, Guiselle reports shortness of breath and
anxiousness. She has difficulty talking in complete
sentences. Vital signs are: Blood pressure 122/72; Heart rate
122; Respiratory rate 32; Oxygen saturation 88% on 5 L
oxygen. What is the most likely underlying cause of
Guiselle's distress? a. Viral pneumonia
b. Bacterial pneumonia
c. Pulmonary embolism
d. Adult respiratory distress syndrome (ARDS): d. Adult
respiratory distress syndrome (ARDS)
Rationale: Although Guiselle is at risk for bacterial pneumonia due
to near-drowning, the onset of her distress was too quick to be
caused by bacterial pneumonia. Her shortness of breath and
anxiousness are most likely caused by direct irritation of the lung
parenchyma that leads to ARDS. ARDS is characterized by
sudden non-cardiogenic pulmonary edema, hypoxia, and
respiratory failure.
NR 574
NR
NR 574 FINAL EXAM HYPOTHERMIA, BURNS
& NEAR DROWNING QUESTIONS WITH CORRECT
VERIFIED SOLUTIONS 100% GUARANTEED PASS
1. indicators for poor prognosis following near drowning
situation.: Submersion or resuscitation lasting more than 25
minutes, apnea, pH < 7.41, and Glasgow coma scale (GCS) < 5
are poor prognostic signs.
2. clinical findings of near drowning patient: panic and
agitation lethargy, stupor, or coma
hypothermia hypotension cyanosis pulmonary edema
bradycardia or tachycardia arrhythmia cardiac arrest
secondary traumatic injuries (paresthesia, paralysis,
extremity deformity, etc.)
3. Management near drowning and post drowning: -
intubation/supplemental 02 -remove all wet clothes
-fluid and electrolyte replacement as needed w/ serial BMP
-NG/OG for gastric decompression (if aspirated, can quickly lead
to PNA) -minimum of 6-8 hrs tele monitoring
-
NR 574
, 2
NR
4. Guiselle is an 18-year-old female who was admitted 8
hours ago after a near-drowning incident. EMS reports that
she fell into a swimming pool at a party and was unable to
swim. It was reported that a family member rescued her from
underwater after she had been submerged for approximately
2 minutes. She arrived with oxygen at 5 Liters (L) via nasal
cannula. Now, Guiselle reports shortness of breath and
anxiousness. She has difficulty talking in complete
sentences. Vital signs are: Blood pressure 122/72; Heart rate
122; Respiratory rate 32; Oxygen saturation 88% on 5 L
oxygen. What is the most likely underlying cause of
Guiselle's distress? a. Viral pneumonia
b. Bacterial pneumonia
c. Pulmonary embolism
d. Adult respiratory distress syndrome (ARDS): d. Adult
respiratory distress syndrome (ARDS)
Rationale: Although Guiselle is at risk for bacterial pneumonia due
to near-drowning, the onset of her distress was too quick to be
caused by bacterial pneumonia. Her shortness of breath and
anxiousness are most likely caused by direct irritation of the lung
parenchyma that leads to ARDS. ARDS is characterized by
sudden non-cardiogenic pulmonary edema, hypoxia, and
respiratory failure.
NR 574
