NUR 4420 FINAL EXAM (WEEK 10) 172
QUESTIONS WITH COMPLETE
SOLUTIONS.
1 of
172
Definition
Failure of heart to adequately pump blood throughout the
vasculature as a result of major dysfx of the L ventricle
Happens often after MI of L anterior wall
---> LV is affected which dec CO
Dec of O2 delivery to tissues 2º to pump failure
Give this one a try later!
, Hypovolemic shock Cardiogenic shock
Obstructive shock Septic shock
Don't know?
2 of 172
Term
When caring for a patient w/ MODS, the nurse knows to
look for what respiratory symptoms?
Give this one a try later!
Endothelial lung damage
Bronchoconstriction & pulmonary vasoconstriction
---> Biggest thing w/ resp, will cause
wheezing Massive capillary leak causes
pulmonary edema Altered hydrostatic &
oncotic pressure Interstitial edema
Potential ventilation-perfusion mismatch
---> May cause ARDS & hypoxia
, AKI --> D/t hypovolemia from injury
---> Prevent w/ fluid resuscitation
Rhabdomyolysis & myoglobinuria
---> Caused by muscle & crush injuries which compromises blood flow
---> Causes ischemia & muscle breakdown which lodges in the glomerulus
Be caution to prevent hypothermia
Preserve forensic evidence
---> Be careful of hidden drugs
---> Always wear gloves
•Try to find the cause
---> Culture sputum, blood, wound, etc
---> Peritoneal lavage to see if there's infection in peritoneal cavity
•Debride wounds
•Stabilize fractures, prevent fat emboli
•Minimize tissue damage
•Prophylactic abx (Broad spectrum)
---> Vancomycin, Zosyn, piperacillin, Keflex
•Use aseptic technique
•Provide nutritional support
Don't know?
3 of 172
Definition
, Warm, flushed skin d/t
vasodilation Rapid, bounding
pulse
Change in
LOC Fever,
chills
Hypoxemia
Dec UO
Metabolic acidosis
Inc WBCs & FSP, dec plt
Give this one a try later!
S&S of early septic shock S&S of anaphylactic shock
S&S of late septic shock S&S of cardiogenic shock
Don't know?
4 of 172
Definition
Malignancy
QUESTIONS WITH COMPLETE
SOLUTIONS.
1 of
172
Definition
Failure of heart to adequately pump blood throughout the
vasculature as a result of major dysfx of the L ventricle
Happens often after MI of L anterior wall
---> LV is affected which dec CO
Dec of O2 delivery to tissues 2º to pump failure
Give this one a try later!
, Hypovolemic shock Cardiogenic shock
Obstructive shock Septic shock
Don't know?
2 of 172
Term
When caring for a patient w/ MODS, the nurse knows to
look for what respiratory symptoms?
Give this one a try later!
Endothelial lung damage
Bronchoconstriction & pulmonary vasoconstriction
---> Biggest thing w/ resp, will cause
wheezing Massive capillary leak causes
pulmonary edema Altered hydrostatic &
oncotic pressure Interstitial edema
Potential ventilation-perfusion mismatch
---> May cause ARDS & hypoxia
, AKI --> D/t hypovolemia from injury
---> Prevent w/ fluid resuscitation
Rhabdomyolysis & myoglobinuria
---> Caused by muscle & crush injuries which compromises blood flow
---> Causes ischemia & muscle breakdown which lodges in the glomerulus
Be caution to prevent hypothermia
Preserve forensic evidence
---> Be careful of hidden drugs
---> Always wear gloves
•Try to find the cause
---> Culture sputum, blood, wound, etc
---> Peritoneal lavage to see if there's infection in peritoneal cavity
•Debride wounds
•Stabilize fractures, prevent fat emboli
•Minimize tissue damage
•Prophylactic abx (Broad spectrum)
---> Vancomycin, Zosyn, piperacillin, Keflex
•Use aseptic technique
•Provide nutritional support
Don't know?
3 of 172
Definition
, Warm, flushed skin d/t
vasodilation Rapid, bounding
pulse
Change in
LOC Fever,
chills
Hypoxemia
Dec UO
Metabolic acidosis
Inc WBCs & FSP, dec plt
Give this one a try later!
S&S of early septic shock S&S of anaphylactic shock
S&S of late septic shock S&S of cardiogenic shock
Don't know?
4 of 172
Definition
Malignancy
