NURS 3632 Complex Escape Rooms Questions and Answers
Correct
Incorrect
1 of 119
Term
The priority intervention for this rhythm would be?
(A) Defibrillation
(B) Cardioversion
(C) Adenosine
(D) Amiodarone
Give this one a try later!
,B
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The severity of each burn injury is determined by multiple factors. These factors
include age of the patient; depth of the burn; amount of surface area of the body
that is burned; the presence of inhalation injury; presence of other injuries; location
of the injury in areas such as the face, the perineum, hands, or feet; and the
presence of a past medical history
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This is a second-degree or partial thickness burn. First-degree or
superficial burns are superficial injuries that involve only the outermost
layer of skin. These burns are erythematous, but the epidermis is intact; if
rubbed, the burned tissue does not separate from the underlying dermis.
A typical first-degree burn is a sunburn or superficial scald. Second-
degree burns involve the entire epidermis and varying portions of the
dermis. They are painful and are typically associated with blister
formation. Healing time depends on the depth of dermal injury and
typically ranges from 2 to 3 weeks. Hair follicles and skin appendages
remain intact. Third-degree (full-thickness) burns involve total destruction
of the epidermis, dermis, and, in some cases, damage of underlying tissue.
Wound color ranges widely from pale white to red, brown, or charred.
The burned area lacks sensation because nerve fibers are damaged. The
wound appears leathery and dry due to the destruction of the
microcirculation; hair follicles and sweat glands are destroyed
A,B,C
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What is this rhythm? PEA; Start CPR, administer Epi, and the only chance
the person has for survival is for us to quickly identify the problem and
immediately intervene.
, A
Feedback
This is ventricular fibrillation. The only intervention that will convert
this rhythm is defibrillation. After defibrillation and two minutes of
CPR if still in this rhythm, we defibrillate again and give epinephrine.
After two more minutes of CPR if still in this rhythm, we defibrillate
again and give amiodarone. Don't know?
2 of 119
Term
The nurse is discussing cardiac hemodynamics with a nursing student.
The nurse explains preload to the student and then asks the student
what nursing interventions might cause increased preload. Which
response by the student indicates understanding?*
(A) Application of antiembolic stockings
(B) Fluid restriction
(C) Administration of a prescribed vasodilating drug
(D) Maintenance of the patient's legs in a dependent position
Give this one a try later!
A
Feedback
Preload is the amount of blood presented to the ventricles just before systole.
Anything that assists in returning blood to the heart (e.g., antiembolic
stockings) or preventing blood from pooling in the extremities will increase
preload. Anything that decreases the amount of blood returning to the heart
, will decrease preload, such as vasodilation, fluid deficit or blood pooling in
the extremities.
B
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DCM is characterized by significant dilation of the ventricles without significant
concomitant hypertrophy and systolic dysfunction. The ventricles do not atrophy in
clients with DCM.
B
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DCM has very large, dilated ventricular chambers which decrease its ability for
adequate contraction resulting in a decrease in the EF which causes decreasing the
CO. If my kidneys do not get volume, they go into retention mode holding onto
urine decreasing the UO.
B
Feedback
In septic shock, the mediators that get released result in capillary permeability
dropping the preload, vasodilation resulting in low afterload, less volume returning
to the heart results in a drop in CO so the HR increases to try to increase the CO.
Don't know?
3 of 119
Term
What S&S would you see in a patient with neurogenic shock? (SATA)*
(A) Vasodilation in lower extremities
Correct
Incorrect
1 of 119
Term
The priority intervention for this rhythm would be?
(A) Defibrillation
(B) Cardioversion
(C) Adenosine
(D) Amiodarone
Give this one a try later!
,B
Feedback
The severity of each burn injury is determined by multiple factors. These factors
include age of the patient; depth of the burn; amount of surface area of the body
that is burned; the presence of inhalation injury; presence of other injuries; location
of the injury in areas such as the face, the perineum, hands, or feet; and the
presence of a past medical history
Feedback
This is a second-degree or partial thickness burn. First-degree or
superficial burns are superficial injuries that involve only the outermost
layer of skin. These burns are erythematous, but the epidermis is intact; if
rubbed, the burned tissue does not separate from the underlying dermis.
A typical first-degree burn is a sunburn or superficial scald. Second-
degree burns involve the entire epidermis and varying portions of the
dermis. They are painful and are typically associated with blister
formation. Healing time depends on the depth of dermal injury and
typically ranges from 2 to 3 weeks. Hair follicles and skin appendages
remain intact. Third-degree (full-thickness) burns involve total destruction
of the epidermis, dermis, and, in some cases, damage of underlying tissue.
Wound color ranges widely from pale white to red, brown, or charred.
The burned area lacks sensation because nerve fibers are damaged. The
wound appears leathery and dry due to the destruction of the
microcirculation; hair follicles and sweat glands are destroyed
A,B,C
Feedback
What is this rhythm? PEA; Start CPR, administer Epi, and the only chance
the person has for survival is for us to quickly identify the problem and
immediately intervene.
, A
Feedback
This is ventricular fibrillation. The only intervention that will convert
this rhythm is defibrillation. After defibrillation and two minutes of
CPR if still in this rhythm, we defibrillate again and give epinephrine.
After two more minutes of CPR if still in this rhythm, we defibrillate
again and give amiodarone. Don't know?
2 of 119
Term
The nurse is discussing cardiac hemodynamics with a nursing student.
The nurse explains preload to the student and then asks the student
what nursing interventions might cause increased preload. Which
response by the student indicates understanding?*
(A) Application of antiembolic stockings
(B) Fluid restriction
(C) Administration of a prescribed vasodilating drug
(D) Maintenance of the patient's legs in a dependent position
Give this one a try later!
A
Feedback
Preload is the amount of blood presented to the ventricles just before systole.
Anything that assists in returning blood to the heart (e.g., antiembolic
stockings) or preventing blood from pooling in the extremities will increase
preload. Anything that decreases the amount of blood returning to the heart
, will decrease preload, such as vasodilation, fluid deficit or blood pooling in
the extremities.
B
Feedback
DCM is characterized by significant dilation of the ventricles without significant
concomitant hypertrophy and systolic dysfunction. The ventricles do not atrophy in
clients with DCM.
B
Feedback
DCM has very large, dilated ventricular chambers which decrease its ability for
adequate contraction resulting in a decrease in the EF which causes decreasing the
CO. If my kidneys do not get volume, they go into retention mode holding onto
urine decreasing the UO.
B
Feedback
In septic shock, the mediators that get released result in capillary permeability
dropping the preload, vasodilation resulting in low afterload, less volume returning
to the heart results in a drop in CO so the HR increases to try to increase the CO.
Don't know?
3 of 119
Term
What S&S would you see in a patient with neurogenic shock? (SATA)*
(A) Vasodilation in lower extremities