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NUR 265 TEST 3 QUESTIONS WITH ANSWERS ,

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NUR 265 TEST 3 QUESTIONS WITH
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ANSWERS
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What causes Autonomic Dysreflexia - CORRECT
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ANSWERS(S)✔✔Stimulation at level of T6 or above
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What are some examples of triggers of autonomic dysreflexia -
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CORRECT ANSWERS(S)✔✔restrictive clothing; full
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bladder/neurogenic bladder; fecal impaction; directive pressure
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s/a sitting in the wheel chair
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signs and systems of Autonomic Dysreflexia - CORRECT
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ANSWERS(S)✔✔hypertension, flushed face, headaches, JVD,
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bradycardic, diaphoresis, pale ext below the level of T6, nausea,
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dilated pupils, blurred vision, restlessness
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What is the purpose of fluid resuscitation for a burn victim -
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CORRECT ANSWERS(S)✔✔maintain vital organ perfusion, reduce
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edema, minimize effects of fluid shifts, prevent hypovolemic
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shock
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What IV solution is commonly used to resuscitate a pt with a
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burn - CORRECT ANSWERS(S)✔✔Lactated ringers
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,Chemical burns should be irrigated until - CORRECT
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ANSWERS(S)✔✔20 minutes or the burn sensation continues
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after the 20 minute marker
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what would you use to remove hot tar or asphalt - CORRECT
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ANSWERS(S)✔✔citrus petroleum jelly ex; medisol
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petroleum jelly //




antibiotic ointment
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what kind of brain injury would you expect if an adult client is
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positive for Palmer's infant reflexes - CORRECT
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ANSWERS(S)✔✔cortical and premotor cortex damage
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what kind of brain injury would you expect if an adult client is
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positive for plantar infant reflexes - CORRECT
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ANSWERS(S)✔✔upper motor neuron lesion
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what kind of brain injury would you expect if an adult client is
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positive for rooting infant reflex - CORRECT
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ANSWERS(S)✔✔frontal lobe damage
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,what kind of brain injury would you expect if an adult client is
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positive for sucking infant reflex - CORRECT
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ANSWERS(S)✔✔Advance dementia; cortical brain damage
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what kind of brain injury would you expect if an adult client is
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positive for glabella (persistent blinking) infant reflex -
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CORRECT ANSWERS(S)✔✔diffuse cortical dysfunction
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What is the consensus formula for burns - CORRECT
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ANSWERS(S)✔✔2-4 ml X TBSA X KG
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What S&S are expected for a burn client who is receiving the
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first 8 hours of fluid resuscitation - CORRECT
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ANSWERS(S)✔✔Restlessness, anxiety, Hypothermia
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how much fluid replacement are you going to give the first 8
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hours - CORRECT ANSWERS(S)✔✔1/2 of the fluid consensus
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What do you need to monitor when resuscitating fluids for burn
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pt to make sure that it is working - CORRECT
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ANSWERS(S)✔✔Urine output
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, Besides a hyperbaric chamber how would you admin o2 to a
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client with CO poisoning - CORRECT ANSWERS(S)✔✔100% O2
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with a non-rebreather
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How would you treat a circumferential trunk burn that is
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swelling and why? - CORRECT ANSWERS(S)✔✔Eschartomies
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R/T constriction of the chest wall expansion
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what are the classification of shock - CORRECT
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ANSWERS(S)✔✔Cardiogenic; hypovolemic, neurogenic, and
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Disruptive
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All shock is caused by - CORRECT ANSWERS(S)✔✔inadequate
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tissue perfusion
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Patho of hypovolemic shock - CORRECT
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ANSWERS(S)✔✔Inadequate circulating blood volume S/A burns,
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hemorrhage, dehydration
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Patho for cardiogenic shock - CORRECT
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ANSWERS(S)✔✔Inadequate pumping action of the heart S/A MI,
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CHF, PE
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