NURS 434 Exam 4 Questions With Complete Solutions
A nurse should be concerned about what with an electrical burn?
Correct Answers Dysrhythmias
Anaerobic metabolism results in what laboratory change?
Correct Answers Increase in lactic acid
Cardiogenic shock results in what? Correct Answers Decrease
in CO
DIC can be a complication of what? Correct Answers Septic
shock
How can a nurse identify specific inheritance patterns? Correct
Answers The use of pedigrees
How can a nurse use pharmacogenetics and pharmacogenomics
when caring for a patient? Correct Answers If a patient
undergoes genetic testing, they can use the results of those tests
to pick the best medication or treatment for that individual
How can you increase oxygen supply in a patient with
hypovolemic shock? Correct Answers -Optimize CO with fluid
replacement or drugs
-Increased hemoglobin by transfusion
-Increased arterial oxygen with supplemental oxygen and
mechanical ventilation
How do you treat SIRS? Correct Answers Treat the underlying
cause
,How is DIC treated? Correct Answers -Treat underlying cause
-Plasma transfusions to replace blood clotting factors
-Blood thinners
-Apply pressure to areas of bleeding
How should a nurse care for an airway injury of a burn patient?
Correct Answers -Support airway and ventilation
-Supplemental O2
-Deep breathing and coughing
-Elevate HOB
How should fluid and renal function be monitored when a
patient is receiving mannitol for IICP? Correct Answers
Through an indwelling cath
How should mannitol be administered? Correct Answers IV
How would a nurse recognize that a patient with ICP or TBI is
improving? Correct Answers -Improving of LOC
-ICP in normal limits
-MAp of 65 or greater
-Increase of GCS
-PaCO2 in normal limits
-PaO2 within normal limits
Hypovolemic results in a decrease in what? Correct Answers
Preload
MODS is commonly associated with what? Correct Answers
Sepsis
, What are causes of cardiogenic shock? Correct Answers -MI
-Cardiomyopathy
-Blunt cardiac injury
-Severe systemic or pulmonary HTN
-Cardiac tamponade
-Myocardial depression from metabolic problems
What are corticosteroids used for with TBIs? Correct Answers
-Not used for TBIs
-Used for edema in patients with tumors or abscesses
What are findings of a contusion? Correct Answers -Brief
disruption in LOC
-Retrograde amnesia
-HA
What are findings of a subdural hematoma? Correct Answers -
Decreased LOC
-HA
-Drowsy
-Confused
-Can go unconscious
What are findings of an epidural hematoma? Correct Answers
-"Lucid intervals"
-HA
-Nausea
-Vomiting
A nurse should be concerned about what with an electrical burn?
Correct Answers Dysrhythmias
Anaerobic metabolism results in what laboratory change?
Correct Answers Increase in lactic acid
Cardiogenic shock results in what? Correct Answers Decrease
in CO
DIC can be a complication of what? Correct Answers Septic
shock
How can a nurse identify specific inheritance patterns? Correct
Answers The use of pedigrees
How can a nurse use pharmacogenetics and pharmacogenomics
when caring for a patient? Correct Answers If a patient
undergoes genetic testing, they can use the results of those tests
to pick the best medication or treatment for that individual
How can you increase oxygen supply in a patient with
hypovolemic shock? Correct Answers -Optimize CO with fluid
replacement or drugs
-Increased hemoglobin by transfusion
-Increased arterial oxygen with supplemental oxygen and
mechanical ventilation
How do you treat SIRS? Correct Answers Treat the underlying
cause
,How is DIC treated? Correct Answers -Treat underlying cause
-Plasma transfusions to replace blood clotting factors
-Blood thinners
-Apply pressure to areas of bleeding
How should a nurse care for an airway injury of a burn patient?
Correct Answers -Support airway and ventilation
-Supplemental O2
-Deep breathing and coughing
-Elevate HOB
How should fluid and renal function be monitored when a
patient is receiving mannitol for IICP? Correct Answers
Through an indwelling cath
How should mannitol be administered? Correct Answers IV
How would a nurse recognize that a patient with ICP or TBI is
improving? Correct Answers -Improving of LOC
-ICP in normal limits
-MAp of 65 or greater
-Increase of GCS
-PaCO2 in normal limits
-PaO2 within normal limits
Hypovolemic results in a decrease in what? Correct Answers
Preload
MODS is commonly associated with what? Correct Answers
Sepsis
, What are causes of cardiogenic shock? Correct Answers -MI
-Cardiomyopathy
-Blunt cardiac injury
-Severe systemic or pulmonary HTN
-Cardiac tamponade
-Myocardial depression from metabolic problems
What are corticosteroids used for with TBIs? Correct Answers
-Not used for TBIs
-Used for edema in patients with tumors or abscesses
What are findings of a contusion? Correct Answers -Brief
disruption in LOC
-Retrograde amnesia
-HA
What are findings of a subdural hematoma? Correct Answers -
Decreased LOC
-HA
-Drowsy
-Confused
-Can go unconscious
What are findings of an epidural hematoma? Correct Answers
-"Lucid intervals"
-HA
-Nausea
-Vomiting
