NR 341 final Actual Questions and Correct Answers
Q1
high school student comes to ed with headache, fever, and neck pain
Answer: expect lumbar puncture bc indicative of bacterial meningitis
Q2
Status epileptics medication
Answer: benzodiazepines (Lorazepam (ativan) is drug of choice)
Q3
Delirium nursing interventions
Answer: quiet environment, reorient, speak slowly, dark room, maintain consistent routine,
identify threats to
safety
Q4
what to monitor following electrical burns
Answer: telemetry for 24 hours
Q5
Priority for facial burns
Answer: airway/intubate
Q6
Patients with burns on face/neck are at risk for what?
Answer: airway obstruction
Q7
Patient has VS showing infection on burn site - what to do?
Answer: get burn and wound culture
Q8
process of getting blood cultures for burns
Answer: Do blood cultures before any antibiotics are given
, Q9
Burns stress ulcers and prevention
Answer: Curling's ulcer; NG tube is the prevention
Q10
priority for carbon monoxide burns
Answer: oxygen with non rebreather mask
Q11
other priority for burns
Answer: fluids
Q12
superficial burn (1st degree)
Answer: like a sunburn (epidermis and maybe small portion of dermis)
Q13
Partial thickness burn (2nd °)
Answer: epidermis and most of dermis
Q14
Full thickness burn (3rd °)
Answer: Same as partial thickness but may extend into subcutaneous tissue; nerve damage
Q15
Escharectomy
Answer: surgical removal of eschar
Q16
priority intervention for DKA
Answer: fluids
Q1
high school student comes to ed with headache, fever, and neck pain
Answer: expect lumbar puncture bc indicative of bacterial meningitis
Q2
Status epileptics medication
Answer: benzodiazepines (Lorazepam (ativan) is drug of choice)
Q3
Delirium nursing interventions
Answer: quiet environment, reorient, speak slowly, dark room, maintain consistent routine,
identify threats to
safety
Q4
what to monitor following electrical burns
Answer: telemetry for 24 hours
Q5
Priority for facial burns
Answer: airway/intubate
Q6
Patients with burns on face/neck are at risk for what?
Answer: airway obstruction
Q7
Patient has VS showing infection on burn site - what to do?
Answer: get burn and wound culture
Q8
process of getting blood cultures for burns
Answer: Do blood cultures before any antibiotics are given
, Q9
Burns stress ulcers and prevention
Answer: Curling's ulcer; NG tube is the prevention
Q10
priority for carbon monoxide burns
Answer: oxygen with non rebreather mask
Q11
other priority for burns
Answer: fluids
Q12
superficial burn (1st degree)
Answer: like a sunburn (epidermis and maybe small portion of dermis)
Q13
Partial thickness burn (2nd °)
Answer: epidermis and most of dermis
Q14
Full thickness burn (3rd °)
Answer: Same as partial thickness but may extend into subcutaneous tissue; nerve damage
Q15
Escharectomy
Answer: surgical removal of eschar
Q16
priority intervention for DKA
Answer: fluids
