ATI MEDSURG 2 NUR 144/DETAILED ANSWER KEY NEURO-SHOCK &
BURNS PRACTICE// ALREADY GRADED A+(NEW BRAND)
How do you contract Hep A? -CORRECT ANSWEReating contaminated foods
Client comes in with TB symptoms (night sweats, coughing up sputum streaked with blood,
weight loss)
What do you do first? -CORRECT ANSWERStart airborne precautions
How long is the risk of contracting TB? -CORRECT ANSWERIt decreases 2-3 weeks of
antibiotic therapy
How long do you continue TB meds? -CORRECT ANSWERcontinue for its full duration of 6-
12 months, failure to take full course of meds can cause resistant TB strain to develop
How long does a client receive follow-up care for? -CORRECT ANSWERAt least 1 full year,
sputum samples are collected every 2-4 weeks to monitor therapy AND you need at leaste
THREE negative sputum samples to be TB-free
what happens to your VS with increased Intracranial pressure? -CORRECT
ANSWERwidening pulse pressure (systolic - diastolic)
pt having seizure, first thing to do? -CORRECT ANSWERlie them to the floor
digoxin administration -CORRECT ANSWERhold if apical HR < 60 bpm
watch for N/V
,Monitor ecg/bp
take at same time everyday
take 2 hrs before or after antacids
if you miss a dose, take it as soon as you remember
Diabetes, pt education regarding medications -CORRECT ANSWERtake it even if you can't
eat
clear - cloudy - cloudy - clear
pull in short acting first then long acting
rotate injection sites
must eat after injection or will have hypoglycemia
nurse actions for a blood transfusion reaction -CORRECT ANSWERstop infusion
change tubing
start IV of 0.9% NaCl
keep tubing, bags to send back to lab
Narcan is antagonist -CORRECT ANSWERmorphine
give if RR falls below 8/min, stop opioid and give narcan
prioritizing care for burns -CORRECT ANSWERAirway
fluid and electrolytes
thermoregulation
infection
, how to evaluate epoetin alfa effectiveness -CORRECT ANSWERcheck hematocrit lab values
how to prevent dumping syndrome -CORRECT ANSWERavoid foods that cause distress
monitor for orthostatic change in VS and tachycardia means possible GI bleeding
Have pt lie in supine after eating
understanding of TPN -CORRECT ANSWERmust monitor glucose levels closely during
infusion
given through PICC or central line
hypokalemia signs *below 3.5 -CORRECT ANSWERVS- weak, irregular pulse, hypotension,
resp distress
neurmuscular- weakness to point of collapse
ECG- PVC, bradycardia
hyperkalemia signs *above 5 -CORRECT ANSWERVS- slow, irregular pulse, hypotension
neuromuscular- restlessness, irritability, weakness
ECG- pvc, v fib, tall tented T waves, wide QRS
GI- n/v
oliguria
hemoglobin -CORRECT ANSWERfemale 12-16
male 14-18
hematocrit -CORRECT ANSWERfemale 35-45
male 42-52
BURNS PRACTICE// ALREADY GRADED A+(NEW BRAND)
How do you contract Hep A? -CORRECT ANSWEReating contaminated foods
Client comes in with TB symptoms (night sweats, coughing up sputum streaked with blood,
weight loss)
What do you do first? -CORRECT ANSWERStart airborne precautions
How long is the risk of contracting TB? -CORRECT ANSWERIt decreases 2-3 weeks of
antibiotic therapy
How long do you continue TB meds? -CORRECT ANSWERcontinue for its full duration of 6-
12 months, failure to take full course of meds can cause resistant TB strain to develop
How long does a client receive follow-up care for? -CORRECT ANSWERAt least 1 full year,
sputum samples are collected every 2-4 weeks to monitor therapy AND you need at leaste
THREE negative sputum samples to be TB-free
what happens to your VS with increased Intracranial pressure? -CORRECT
ANSWERwidening pulse pressure (systolic - diastolic)
pt having seizure, first thing to do? -CORRECT ANSWERlie them to the floor
digoxin administration -CORRECT ANSWERhold if apical HR < 60 bpm
watch for N/V
,Monitor ecg/bp
take at same time everyday
take 2 hrs before or after antacids
if you miss a dose, take it as soon as you remember
Diabetes, pt education regarding medications -CORRECT ANSWERtake it even if you can't
eat
clear - cloudy - cloudy - clear
pull in short acting first then long acting
rotate injection sites
must eat after injection or will have hypoglycemia
nurse actions for a blood transfusion reaction -CORRECT ANSWERstop infusion
change tubing
start IV of 0.9% NaCl
keep tubing, bags to send back to lab
Narcan is antagonist -CORRECT ANSWERmorphine
give if RR falls below 8/min, stop opioid and give narcan
prioritizing care for burns -CORRECT ANSWERAirway
fluid and electrolytes
thermoregulation
infection
, how to evaluate epoetin alfa effectiveness -CORRECT ANSWERcheck hematocrit lab values
how to prevent dumping syndrome -CORRECT ANSWERavoid foods that cause distress
monitor for orthostatic change in VS and tachycardia means possible GI bleeding
Have pt lie in supine after eating
understanding of TPN -CORRECT ANSWERmust monitor glucose levels closely during
infusion
given through PICC or central line
hypokalemia signs *below 3.5 -CORRECT ANSWERVS- weak, irregular pulse, hypotension,
resp distress
neurmuscular- weakness to point of collapse
ECG- PVC, bradycardia
hyperkalemia signs *above 5 -CORRECT ANSWERVS- slow, irregular pulse, hypotension
neuromuscular- restlessness, irritability, weakness
ECG- pvc, v fib, tall tented T waves, wide QRS
GI- n/v
oliguria
hemoglobin -CORRECT ANSWERfemale 12-16
male 14-18
hematocrit -CORRECT ANSWERfemale 35-45
male 42-52
