NUR 211 Final Exam 3
1. Diagnostics for epiglottitis
Answer
Lateral neck x-ray (thumb print), blood cultures (WBC;20-30,000)
2. Sprain
Answer
Injury to ligaments surrounding a joint usually called by wrenching or twisting motion
3. S/S of epiglottitis
Answer
4 Ds
drooling, dysphagia, dysphonia, difficulty inspirority breathing, fever, restlessness, stridor,
tripod position, (slowed breating=too tired to breathe)
4. First-degree (mild) Sprain
Answer
involves tears in only a few fibers, resulting in mild tenderness and minimal swelling
5. priority intervention for epiglottitis
Answer
Intubation
6. Second-degree (moderate) Sprain
Answer
partial disruption of the involved tissue with more swelling and tenderness
7. Cause of epiglottitis
Answer
HIB virus; teach about vaccinations
,8. Third-Degree (severe) Sprain
Answer
complete tearing of the ligament in association with moderate to severe swelling
9. Emotional needs of a burn patient
Answer
assess circumstances of the burn. burn survivors often experience guilt, concern, frustrations.
new fares will arise during recovery, self esteem may be adversely affected. Address spiritual
and cultural needs. Issues of sexuality must be met with honesty. Family and patient support
groups to manage the enormous range of emotional responses that the burn patient may exhibit,
assess the circumstances of the burn, family relationships, and previous coping experiences with
stressful stimuli. At any time the patient may experience a variety of emotions such as fear,
anxiety, anger, guilt, and depression. encouraged patient to discuss fears regarding loss of life as
he or she once knew it, loss of function, temporary or permanent deformity and disfigurement.
Discuss returning to work and home life, and financial burdens resulting from the long and costly
Hospital stay and rehab.
10. Strain
Answer
excessive stretching of a muscle, it's fascial sheath, or a tendon
11. Dietary sources of nutrients for burn pts
Answer
Increase protein intake (meats & beans) and calorie intake (5,000/day)
12. Clinical Manifestations of Sprains/ Strains
Answer
pain, edema, decrease in func- tion, contusion
13. Avulsion Fx
Answer
Ligament pulls loose a fragment of bone
14. Evidence that fluid resuscitation is effective
Answer
Increased urine output and normalization of lab values
,15. Hallmark sign of shock
Answer
Low BP
16. Health Promotion (Strains/Sprains)
Answer
Strengthening exercises, balancing exer- cises and endurance exercises
17. Lactate levels indicative of sepsis
Answer
>2
18. Acute Care (Sprains/Strains)
Answer
-Stop activity
-Apply ice packs
-Compress involved area
-Elevate
-Analgesia PRN
19. Stages of Shock
Answer
-Compensated
-Decompensated
-Irreversible
20. Time Restraints for Cryotherapy and Heat therapy
Answer
Apply no more than 20-30 min and avoid direct contact with skin
21. Compensatory stage of shock
, Answer
Confusion Decreased urinary output
BP systolic < 100
22. Elastic Compression Bandage is wrapped how?
Answer
Begin at the farthest point from the trunk of the body and progress proximally
23. decompensated shock (progressive)
Answer
when the body can no longer compen- sate for low blood volume or lack of perfusion. Late signs
such as decreasing blood pressure become evident
24. Time Restraints for Elastic Compression Bandage
Answer
Leave in place for 30 minutes and remove for 15 minutes
25. irreversible shock (prefractory)
Answer
When the body has lost the battle to maintain perfusion to vital organs. Even if adequate vital signs
return, the patient may die days later due to organ failure.
26. Contraindication for elastic compression bandage?
Answer
Dislocation
27. What is oxygen delivery of choice for shock
Answer
High flow O2 (100%) via non-re- breather mask or bag-valve mask; anticipate need for
intubation and mechanical ventilation
28. When do we begin using Heat therapy instead of cryotherapy?
Answer
24-48 hours post injury
1. Diagnostics for epiglottitis
Answer
Lateral neck x-ray (thumb print), blood cultures (WBC;20-30,000)
2. Sprain
Answer
Injury to ligaments surrounding a joint usually called by wrenching or twisting motion
3. S/S of epiglottitis
Answer
4 Ds
drooling, dysphagia, dysphonia, difficulty inspirority breathing, fever, restlessness, stridor,
tripod position, (slowed breating=too tired to breathe)
4. First-degree (mild) Sprain
Answer
involves tears in only a few fibers, resulting in mild tenderness and minimal swelling
5. priority intervention for epiglottitis
Answer
Intubation
6. Second-degree (moderate) Sprain
Answer
partial disruption of the involved tissue with more swelling and tenderness
7. Cause of epiglottitis
Answer
HIB virus; teach about vaccinations
,8. Third-Degree (severe) Sprain
Answer
complete tearing of the ligament in association with moderate to severe swelling
9. Emotional needs of a burn patient
Answer
assess circumstances of the burn. burn survivors often experience guilt, concern, frustrations.
new fares will arise during recovery, self esteem may be adversely affected. Address spiritual
and cultural needs. Issues of sexuality must be met with honesty. Family and patient support
groups to manage the enormous range of emotional responses that the burn patient may exhibit,
assess the circumstances of the burn, family relationships, and previous coping experiences with
stressful stimuli. At any time the patient may experience a variety of emotions such as fear,
anxiety, anger, guilt, and depression. encouraged patient to discuss fears regarding loss of life as
he or she once knew it, loss of function, temporary or permanent deformity and disfigurement.
Discuss returning to work and home life, and financial burdens resulting from the long and costly
Hospital stay and rehab.
10. Strain
Answer
excessive stretching of a muscle, it's fascial sheath, or a tendon
11. Dietary sources of nutrients for burn pts
Answer
Increase protein intake (meats & beans) and calorie intake (5,000/day)
12. Clinical Manifestations of Sprains/ Strains
Answer
pain, edema, decrease in func- tion, contusion
13. Avulsion Fx
Answer
Ligament pulls loose a fragment of bone
14. Evidence that fluid resuscitation is effective
Answer
Increased urine output and normalization of lab values
,15. Hallmark sign of shock
Answer
Low BP
16. Health Promotion (Strains/Sprains)
Answer
Strengthening exercises, balancing exer- cises and endurance exercises
17. Lactate levels indicative of sepsis
Answer
>2
18. Acute Care (Sprains/Strains)
Answer
-Stop activity
-Apply ice packs
-Compress involved area
-Elevate
-Analgesia PRN
19. Stages of Shock
Answer
-Compensated
-Decompensated
-Irreversible
20. Time Restraints for Cryotherapy and Heat therapy
Answer
Apply no more than 20-30 min and avoid direct contact with skin
21. Compensatory stage of shock
, Answer
Confusion Decreased urinary output
BP systolic < 100
22. Elastic Compression Bandage is wrapped how?
Answer
Begin at the farthest point from the trunk of the body and progress proximally
23. decompensated shock (progressive)
Answer
when the body can no longer compen- sate for low blood volume or lack of perfusion. Late signs
such as decreasing blood pressure become evident
24. Time Restraints for Elastic Compression Bandage
Answer
Leave in place for 30 minutes and remove for 15 minutes
25. irreversible shock (prefractory)
Answer
When the body has lost the battle to maintain perfusion to vital organs. Even if adequate vital signs
return, the patient may die days later due to organ failure.
26. Contraindication for elastic compression bandage?
Answer
Dislocation
27. What is oxygen delivery of choice for shock
Answer
High flow O2 (100%) via non-re- breather mask or bag-valve mask; anticipate need for
intubation and mechanical ventilation
28. When do we begin using Heat therapy instead of cryotherapy?
Answer
24-48 hours post injury
