NR 341/ NR341 COMPLEX ADULT HEALTH
EXAM 1 AND 2 | QUESTIONS AND
CORRECT ANSWERS GRADED A+
What is the purpose of Continuous Renal Replacement Therapy (CRRT)?
- Correct Answer > Dialysis
This is a blood filtering therapy that replaced the normal blood-filtering
function of the kidneys in patients with renal failure and acute kidney
injuries.
Neurogenic shock is caused by: - Correct Answer > General or spinal
anesthesia
Epidural block
Cervical spinal cord injury
The 4 types of burns are: - Correct Answer > Thermal Chemical
Electrical
Inhalation
,Thermal burns are cause by: - Correct Answer > Flames Flash
Scald
Contact with hot objects
Neurogenic shock S/SX: - Correct Answer > Decreased HR & BP,
hypothermia, dry and warm skin, oliguria, neurologic deficit, low CO CI
RAP PAP PAOP SVR SvO2
Neurogenic shock TX: - Correct Answer > Eliminate and treat the
cause
Maintain MAP >65
Maintain adequate HR
VTE prophylaxis
Anaphylactic shock is caused by: - Correct Answer > An allergic
reaction
Anaphylactic shock S/SX: - Correct Answer > Elevated HR,
dysrhythmias, decreased BP, angina, tachypnea, warm flushed skin,
oliguria, restlessness, change in LOC, seizures, N/V/D, abd cramping,
dyspnea, cough, stridor, wheezing, dysphagia, urticaria, angioedema,
hives, low CO CI RAP PAP PAOP SCR SvO2, elevated IgE
,Anaphylactic shock TX: - Correct Answer > Remove offending agent
Flush skin with water
Volume expanding fluid (IV of LR or NS)
Maintain airway
Maintain MAP >65
Modify/Block epinephrine, antihistamines, steroids
Packed red blood cells (PRBCs) administration steps: - Correct Answer
> Obtain baseline vital signs prior to administration
2 RN verification of blood product and patient identification
Administer within 30 minutes of receiving PRBC from the pharmacy
Remain present for first 15 minutes of administration to monitor for
signs of a reaction; transfusion is set to @ 75mL/hr
No reaction - increase rate so blood will be transfused over 2 hours
Take vital signs after administration
Multiple Organ Dysfunction Syndrome (MODS) - Correct Answer >
The progressive dysfunction of 2 or more organ systems as a result of
an uncontrolled inflammatory response to severe illness or injury
The presence of altered organ function in an acutely ill patient such
that homeostasis cannot be maintained without interventions.
, Multiple organ dysfunction syndrome (MODS) risk factors include: -
Correct Answer > 1. Patients with impaired immune responses
2. Older adults (MODS can effect any age)
3. Patients with chronic illnesses
4. Patients with malnutrition
5. Patients with prolonged or exaggerated inflammatory responses
6. Victims of severe trauma
7. Patients with sepsis
8. Patients with cancer
9. Prolonged HTN, infection, major surgery, GI ischemia, pancreatitis,
burns
Multiple organ dysfunction syndrome (MODS) classifications include: -
Correct Answer > Primary
Multiple organ injury from a primary insult: trauma, burn, shock,
infection
Secondary
Associated with SIRS
Develops days - weeks after insult
Sepsis and septic shock are the most common causes
ABCDEFG's of trauma: - Correct Answer > Airway
EXAM 1 AND 2 | QUESTIONS AND
CORRECT ANSWERS GRADED A+
What is the purpose of Continuous Renal Replacement Therapy (CRRT)?
- Correct Answer > Dialysis
This is a blood filtering therapy that replaced the normal blood-filtering
function of the kidneys in patients with renal failure and acute kidney
injuries.
Neurogenic shock is caused by: - Correct Answer > General or spinal
anesthesia
Epidural block
Cervical spinal cord injury
The 4 types of burns are: - Correct Answer > Thermal Chemical
Electrical
Inhalation
,Thermal burns are cause by: - Correct Answer > Flames Flash
Scald
Contact with hot objects
Neurogenic shock S/SX: - Correct Answer > Decreased HR & BP,
hypothermia, dry and warm skin, oliguria, neurologic deficit, low CO CI
RAP PAP PAOP SVR SvO2
Neurogenic shock TX: - Correct Answer > Eliminate and treat the
cause
Maintain MAP >65
Maintain adequate HR
VTE prophylaxis
Anaphylactic shock is caused by: - Correct Answer > An allergic
reaction
Anaphylactic shock S/SX: - Correct Answer > Elevated HR,
dysrhythmias, decreased BP, angina, tachypnea, warm flushed skin,
oliguria, restlessness, change in LOC, seizures, N/V/D, abd cramping,
dyspnea, cough, stridor, wheezing, dysphagia, urticaria, angioedema,
hives, low CO CI RAP PAP PAOP SCR SvO2, elevated IgE
,Anaphylactic shock TX: - Correct Answer > Remove offending agent
Flush skin with water
Volume expanding fluid (IV of LR or NS)
Maintain airway
Maintain MAP >65
Modify/Block epinephrine, antihistamines, steroids
Packed red blood cells (PRBCs) administration steps: - Correct Answer
> Obtain baseline vital signs prior to administration
2 RN verification of blood product and patient identification
Administer within 30 minutes of receiving PRBC from the pharmacy
Remain present for first 15 minutes of administration to monitor for
signs of a reaction; transfusion is set to @ 75mL/hr
No reaction - increase rate so blood will be transfused over 2 hours
Take vital signs after administration
Multiple Organ Dysfunction Syndrome (MODS) - Correct Answer >
The progressive dysfunction of 2 or more organ systems as a result of
an uncontrolled inflammatory response to severe illness or injury
The presence of altered organ function in an acutely ill patient such
that homeostasis cannot be maintained without interventions.
, Multiple organ dysfunction syndrome (MODS) risk factors include: -
Correct Answer > 1. Patients with impaired immune responses
2. Older adults (MODS can effect any age)
3. Patients with chronic illnesses
4. Patients with malnutrition
5. Patients with prolonged or exaggerated inflammatory responses
6. Victims of severe trauma
7. Patients with sepsis
8. Patients with cancer
9. Prolonged HTN, infection, major surgery, GI ischemia, pancreatitis,
burns
Multiple organ dysfunction syndrome (MODS) classifications include: -
Correct Answer > Primary
Multiple organ injury from a primary insult: trauma, burn, shock,
infection
Secondary
Associated with SIRS
Develops days - weeks after insult
Sepsis and septic shock are the most common causes
ABCDEFG's of trauma: - Correct Answer > Airway
