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Exam (elaborations)

NURS 2873 Exam 3 | Columbus State Community College | UPDATED Questions with 100% Verified Answers

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NURS 2873 Exam 3 | Columbus State Community College | UPDATED Questions with 100% Verified Answers

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NURS 2873 Exam 3 | Columbus State Community College
| UPDATED Questions with 100% Verified Answers
Q1: Exam 2 Missed Concepts
A: HIV/ AIDS
Priority Actions/ Concerning findings for shock states
Guillain Barre Syndrome
Glasgow Coma Scale
Math
Safety Concerns for Medication Administration


Q2: Missed Concepts
HIV/ AIDS
A: Transmission: Blood, sexual fluids, perinatal.
Monitor: CD4 count (<200 = AIDS), viral load.
Teaching: Medication adherence critical to prevent resistance.
Precautions: Standard unless large-volume blood exposure.


Q3: Missed Concepts
Shock Priority Actions and Concerning Findings
A: Priority: Maintain airway, oxygen, IV access, fluids, identify cause.
Red Flags: MAP < 65, cool/clammy skin (except in septic early warm phase), altered
mental status, weak pulses, tachycardia, decreasing urine output (<30 mL/hr).


Q4: Missed Concepts
Gullian Barre Syndrome
A: Cause: Autoimmune demyelination after infection.
Major Risk: Respiratory failure → monitor vital capacity.
Symptoms: Ascending weakness, paresthesias, absent reflexes.
Treatment: IVIG or plasmapheresis.


Q5: Missed Concepts
Glasgow Coma Scale
A: Components: Eye (4), Verbal (5), Motor (6).
Scores: 15 = normal; ≤8 = coma/Intubate; 3 = lowest possible.
Use: Rapid neuro status assessment.


Q6: Missed Concepts
Math
A: Safe Dose Formula: (D/H) × Q.
IV Pump: mL/hr.
Drip Rate: (mL × gtt factor) / minutes.
Pedi Dose: mg/kg/day divided per dose.

,Q7: Missed Concepts
Medication Administration Safety
A: 5/6 Rights: Right patient, medication, dose, route, time, documentation.
High-Alert Meds: Insulin, heparin, opioids—double-check.
Do Not: Crush ER/EC medications.
Assess: Allergies, labs (e.g., K+ with diuretics), vitals (e.g., HR before beta-blockers).


Q8: Exam 2 Breakdown
A: Acid-Base, Glucose Regulation, Hormonal Regulation
18-22%
Tissue Integrity: Skin/Burns
14-18%
Emergency Preparedness & Disaster Management
8-10%
Perfusion: ECG
6-8%
Adult Code Blue
14-18%
Healthcare Law
10-12%
Math
9-11%
Missed Concepts
7-9%


Q9: Normal ABG
A: pH: 7.35-7.45
CO2: 35-45
HCO3: 22-26
Uncompensated: CO2 or HCO3 is normal
Full Compensation: pH is normal
Partial Compensation: Nothing is normal


Q10: ABG Tic Tac Toe
A: Makes ABGS a lot easier, know it


Q11: What is terrorism?
A: Unlawful use of violence or threats of violence against people in order to coerce or
intimidate


Q12: Is the following statement True or False?
A: FALSE

,Q13: Health care facilities are required by the Joint Commission to
create a plan for emergency preparedness and to practice this
plan once a year.
A: Health care facilities are required by the Joint Commission to create a plan for emergency
preparedness and to practice this plan twice a year.
Emergency Operations Plan (EOP)


Q14: Emergency Operations Plan (EOP)
Essential Components
A: Activation response
Internal/external communication plan
Plan for coordinated patient care
Security plans Identification of external resources
Plan for people management and traffic flow


Q15: Emergency Operations Plan (EOP)
Essential Components
Activation response
A: How the hospital will activate. The EOP activation response of a health care facility
defines where, how, and when the response is initiated.


Q16: Emergency Operations Plan (EOP)
Essential Components
Internal/external communication plan
A: This includes communication inside the hospital and prehospital. Communication is
critical for all parties involved, including communication to and from the prehospital
arena.


Q17: Emergency Operations Plan (EOP)
Essential Components
Plan for coordinated patient care
A: A response is planned for organized patient care into and out of the facility, including
transfers from within the hospital to other facilities. The site of the disaster can determine
8 where the greater number of patients may self■refer.


Q18: Emergency Operations Plan (EOP)
Essential Components
Security Plans
A: A coordinated security plan involving facility and community agencies is key to
controlling an otherwise chaotic situation.


Q19: Emergency Operations Plan (EOP)
Essential Components
Identification of external resources

, A: Resources outside of the facility are identified, including local, state, and federal
resources and information about how to activate these resources. Examples of this would
be the CDC and the Red Cross


Q20: Emergency Operations Plan (EOP)
Essential Components
Plan for people management and traffic flow
A: "People management" includes strategies to manage the patients, the public, the media,
and personnel. Specific areas are assigned and a designated person is delegated to
manage each of these groups


Q21: Emergency Operations Plan (EOP)
Essential Components Cont
A: Data management strategy
Deactivation response
Post-incident response
Plan for practice drills - community drills
Anticipated resources
MCI planning
An education plan for all of the above


Q22: Emergency Operations Plan (EOP)
Essential Components Cont
Data management strategy
A: A data management plan for every aspect of the disaster will save time at every step. A
backup system for charting, tracking, and staffing is developed for downtime


Q23: Emergency Operations Plan (EOP)
Essential Components Cont
Demobilization response
A: Deactivation of the response is as important as activation; resources should not be
unnecessarily exhausted. The person who decides when the facility resumes daily
activities is clearly identified. Any possible residual effects of a disaster must be
considered before this decision is made


Q24: Emergency Operations Plan (EOP)
Essential Components Cont
After■action report or corrective plan
A: Facilities often see increased volumes of patients 3 months or more after an incident.
Postincident response must include a critique and a debriefing for all parties involved,
immediately and again at a later date


Q25: Emergency Operations Plan (EOP)
Essential Components Cont

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