CORRECT AND WELL DETAILED
High school student comes to ed with headache, fever, and neck pain -
B B B B B B B B B B B B
B ANSWER expect lumbar puncture bc indicative of bacterial meningitis
B B B B B B B
Status epileptics medication -
B B B
B ANSWER benzodiazepines (Lorazepam (ativan) is drug of choice) B B B B B B
When the first line drugs are not effective for status epileptics, given to place pt in induced co
B B B B B B B B B B B B B B B B B
ma - ANSWER
B B phenobarbital
Delirium nursing interventions -
B B B
ANSWER
B quiet environment, reorient, speak slowly, dark room, maintain consistent ro
B B B B B B B B B
utine, identify threats to safety
B B B B
What to monitor following electrical burns - ANSWER
B B B B B B B telemetry for 24 hours B B B
Priority for facial burns - ANSWER
B B B B B airway/intubate
Patients with burns on face/neck are at risk for what? - ANSWER
B B B B B B B B B B B airway obstruction
B
Patient has VS showing infection on burn site - what to do? -
B B B B B B B B B B B B
B ANSWER get burn and wound culture
B B B B
Process of getting blood cultures for burns -
B B B B B B B
B ANSWER Do blood cultures before any antibiotics are given
B B B B B B B
Burns stress ulcers and prevention - ANSWER
B B B B B B Curling's ulcer; NG tube is the prevention
B B B B B B
1
, Priority for carbon monoxide burns - ANSWER
B B B B B B oxygen with non rebreather mask
B B B B
Other priority for burns - ANSWER
B B B B B fluids
Superficial burn (1st degree) - B B B B
B ANSWER like a sunburn (epidermis and maybe small portion of dermis)
B B B B B B B B B
Partial thickness burn (2nd °) - ANSWER
B B B B B B epidermis and most of dermisB B B B
Full thickness burn (3rd °) -
B B B B B
ANSWER
B Same as partial thickness but may extend into subcutaneous tissue; nerve da
B B B B B B B B B B B
mage
- Thick, dry leathery appearance
B B B B
Deep Full thickness burn (4th °) -
B B B B B B
B ANSWER Destruction of all layers plus muscles, tendons & bones B B B B B B B B
- Black with no edema
B B B B
Escharectomy - ANSWER B B surgical removal of eschar
B B B
Priority intervention for DKA - ANSWER
B B B B B fluids
Interventions for DKA and HHS - B B B B B
ANSWER
B insulin drip w/ regular insulin, *check blood glucose every hour!! , monitor la B B B B B B B B B B B B
bs, electrolyte replacement
B B
- fluid replacement:
B B B
First use 0.9% NS
B B B
Then 0.45% NS B B
2
High school student comes to ed with headache, fever, and neck pain -
B B B B B B B B B B B B
B ANSWER expect lumbar puncture bc indicative of bacterial meningitis
B B B B B B B
Status epileptics medication -
B B B
B ANSWER benzodiazepines (Lorazepam (ativan) is drug of choice) B B B B B B
When the first line drugs are not effective for status epileptics, given to place pt in induced co
B B B B B B B B B B B B B B B B B
ma - ANSWER
B B phenobarbital
Delirium nursing interventions -
B B B
ANSWER
B quiet environment, reorient, speak slowly, dark room, maintain consistent ro
B B B B B B B B B
utine, identify threats to safety
B B B B
What to monitor following electrical burns - ANSWER
B B B B B B B telemetry for 24 hours B B B
Priority for facial burns - ANSWER
B B B B B airway/intubate
Patients with burns on face/neck are at risk for what? - ANSWER
B B B B B B B B B B B airway obstruction
B
Patient has VS showing infection on burn site - what to do? -
B B B B B B B B B B B B
B ANSWER get burn and wound culture
B B B B
Process of getting blood cultures for burns -
B B B B B B B
B ANSWER Do blood cultures before any antibiotics are given
B B B B B B B
Burns stress ulcers and prevention - ANSWER
B B B B B B Curling's ulcer; NG tube is the prevention
B B B B B B
1
, Priority for carbon monoxide burns - ANSWER
B B B B B B oxygen with non rebreather mask
B B B B
Other priority for burns - ANSWER
B B B B B fluids
Superficial burn (1st degree) - B B B B
B ANSWER like a sunburn (epidermis and maybe small portion of dermis)
B B B B B B B B B
Partial thickness burn (2nd °) - ANSWER
B B B B B B epidermis and most of dermisB B B B
Full thickness burn (3rd °) -
B B B B B
ANSWER
B Same as partial thickness but may extend into subcutaneous tissue; nerve da
B B B B B B B B B B B
mage
- Thick, dry leathery appearance
B B B B
Deep Full thickness burn (4th °) -
B B B B B B
B ANSWER Destruction of all layers plus muscles, tendons & bones B B B B B B B B
- Black with no edema
B B B B
Escharectomy - ANSWER B B surgical removal of eschar
B B B
Priority intervention for DKA - ANSWER
B B B B B fluids
Interventions for DKA and HHS - B B B B B
ANSWER
B insulin drip w/ regular insulin, *check blood glucose every hour!! , monitor la B B B B B B B B B B B B
bs, electrolyte replacement
B B
- fluid replacement:
B B B
First use 0.9% NS
B B B
Then 0.45% NS B B
2