NUR 235 Test 2 UPDATED ACTUAL Questions and CORRECT Answers
1. triage 1. quickly determine patient acuity
2. who has the most threat to life?
3. emergency severity index
2. emergency severity index 1. stability of ABC's
(ESI) 2. life or organ threat
3. how soon should HCP see pt
4. expected resource intensity
3. primary survey 1. alertness and airway
2. breathing
3. circulation
4. disability
5. exposure/environment
6. full VS and family
7. get monitors and give comfort
4. environmental emergencies 1. heat
2. cold
3. submersion
4. bites/stings
5. heat 1. heat cramps
2. heat exhaustion
3. heatstroke
6. cold 1. frostbite
2. hypothermia
7. submersion drowning
8. bites/stings 1. bees, wasps, fire ants
2. snakes
,9. heat related emergencies 1. brief exposure to intense heat
2. prolonged exposure
3. thermoregulatory mechanisms cannot compensate
10. s/s heat cramps brief intense cramps after exercise. nausea, tachycardia, pallor,
weakness, profuse diaphoresis
11. tx heat cramps 1. rest
2. water/na replacement
3. elevation
4. gentle massage
5. analgesia
12. s/s heat exhaustion prolonged exposure to heat over hours or days. temp
99.6-105.8, hypotension, tachycardia, fatigue, extreme thirst,
anxiety, sweating
13. treatment heat exhaustion moist sheet to reduce core temp and fluid replacement
14. heat stroke medical emergency from failed thermoregulatory process
15. heat stroke s/s 1. temp over 105.8
2. tachypnea, tachycardia
3. initial sweating, then none
4. vasodilation
5. alt LOC
6 coma
16. treatment heat stroke Stabilize ABCs, 100% O2, continuous VS monitoring; lower core
temp with cool environment, cool water bath, axillary or groin
ice packs. Control shivering and monitor for rhabdomyolysis
17. What is frostbite? Frostbite is a condition caused by tissue freezing.
,18. What happens to tissues and Ice crystals form in tissues and cells.
cells during frostbite?
19. What effect does cold stress Cold stress causes peripheral vasoconstriction.
have on blood vessels?
20. What can peripheral vasocon- It can lead to decreased blood flow and vascular stasis.
striction lead to?
21. What happens to organelles Organelles are damaged.
during frostbite?
22. What happens to cell mem- Cell membranes are destroyed.
branes during frostbite?
23. What is a consequence of It causes edema.
cell membrane destruction in
frostbite?
24. depth of frostbite depends 1. ambient temperature
on: 2. length of exposure
3. contact w metal surfaces
4. skin color
5. lack of acclimation, poor vascular status
25. superficial frostbite skin and subcutaneous tissue. ears, nose, fingers, and toes
26. superficial frostbite s/s 1. skin looks waxy, pale yellow to blue or mottled
2. tingling, numbness, burning
3. swelling occurs with thawing
27. What is the recommended 99.0° to 102° F
temperature range for im-
mersing an affected area in
, circulating water for superfi-
cial frostbite?
28. What should be used for Warm soaks
warming facial areas affected
by superficial frostbite?
29. What sensations are experi- Feels warm with stinging
enced as the affected area
thaws from superficial frost-
bite?
30. What can form within hours Blisters
after thawing superficial
frostbite?
31. What should be done to the af- Debride and apply sterile dressing
fected area after thawing su-
perficial frostbite?
32. What should be avoided Heavy blankets and clothing
when treating superficial
frostbite?
33. What is a common experi- Rewarming is extremely painful
ence during the rewarming
process of superficial frost-
bite?
34. What type of medication Analgesia
should be given for pain dur-
ing the treatment of superfi-
cial frostbite?
1. triage 1. quickly determine patient acuity
2. who has the most threat to life?
3. emergency severity index
2. emergency severity index 1. stability of ABC's
(ESI) 2. life or organ threat
3. how soon should HCP see pt
4. expected resource intensity
3. primary survey 1. alertness and airway
2. breathing
3. circulation
4. disability
5. exposure/environment
6. full VS and family
7. get monitors and give comfort
4. environmental emergencies 1. heat
2. cold
3. submersion
4. bites/stings
5. heat 1. heat cramps
2. heat exhaustion
3. heatstroke
6. cold 1. frostbite
2. hypothermia
7. submersion drowning
8. bites/stings 1. bees, wasps, fire ants
2. snakes
,9. heat related emergencies 1. brief exposure to intense heat
2. prolonged exposure
3. thermoregulatory mechanisms cannot compensate
10. s/s heat cramps brief intense cramps after exercise. nausea, tachycardia, pallor,
weakness, profuse diaphoresis
11. tx heat cramps 1. rest
2. water/na replacement
3. elevation
4. gentle massage
5. analgesia
12. s/s heat exhaustion prolonged exposure to heat over hours or days. temp
99.6-105.8, hypotension, tachycardia, fatigue, extreme thirst,
anxiety, sweating
13. treatment heat exhaustion moist sheet to reduce core temp and fluid replacement
14. heat stroke medical emergency from failed thermoregulatory process
15. heat stroke s/s 1. temp over 105.8
2. tachypnea, tachycardia
3. initial sweating, then none
4. vasodilation
5. alt LOC
6 coma
16. treatment heat stroke Stabilize ABCs, 100% O2, continuous VS monitoring; lower core
temp with cool environment, cool water bath, axillary or groin
ice packs. Control shivering and monitor for rhabdomyolysis
17. What is frostbite? Frostbite is a condition caused by tissue freezing.
,18. What happens to tissues and Ice crystals form in tissues and cells.
cells during frostbite?
19. What effect does cold stress Cold stress causes peripheral vasoconstriction.
have on blood vessels?
20. What can peripheral vasocon- It can lead to decreased blood flow and vascular stasis.
striction lead to?
21. What happens to organelles Organelles are damaged.
during frostbite?
22. What happens to cell mem- Cell membranes are destroyed.
branes during frostbite?
23. What is a consequence of It causes edema.
cell membrane destruction in
frostbite?
24. depth of frostbite depends 1. ambient temperature
on: 2. length of exposure
3. contact w metal surfaces
4. skin color
5. lack of acclimation, poor vascular status
25. superficial frostbite skin and subcutaneous tissue. ears, nose, fingers, and toes
26. superficial frostbite s/s 1. skin looks waxy, pale yellow to blue or mottled
2. tingling, numbness, burning
3. swelling occurs with thawing
27. What is the recommended 99.0° to 102° F
temperature range for im-
mersing an affected area in
, circulating water for superfi-
cial frostbite?
28. What should be used for Warm soaks
warming facial areas affected
by superficial frostbite?
29. What sensations are experi- Feels warm with stinging
enced as the affected area
thaws from superficial frost-
bite?
30. What can form within hours Blisters
after thawing superficial
frostbite?
31. What should be done to the af- Debride and apply sterile dressing
fected area after thawing su-
perficial frostbite?
32. What should be avoided Heavy blankets and clothing
when treating superficial
frostbite?
33. What is a common experi- Rewarming is extremely painful
ence during the rewarming
process of superficial frost-
bite?
34. What type of medication Analgesia
should be given for pain dur-
ing the treatment of superfi-
cial frostbite?
