NR 341 final Questions With Complete Solutions
A client with a brain tumor develops diabetes insipidus what
data should the nurse expect to find? SATA
A. Dark urine with increased specific gravity
B. High blood serum osmolality
C. Weight gain with edema
D. Increases thirst
E. Sodium level below 135
F. Urine output 30 ml/hr or less Correct Answers B, D
Acute phase for burns Correct Answers 48-72 hours which is
the diuretic phase and edema goes down.
Promote wound healing, prevent complications, and increase
function of body systems.
Assess: LOC, X-rays, fever, secretions, WBC count, monitor
I&Os, weight, maintain fluid requirement
Autonomic Dysreflexia Correct Answers patients with spinal
cord injuries are at risk for developing autonomic dyreflexia (T-
6 or above) and could be from full bladder, tight clothing, fecal
impact ion, pressure wounds.
carbon monoxide poisoning? Correct Answers -carbon
monoxide binds with hemoglobin and reduces oxygen supply to
tissues
-cannot be seen. smelled, or tasted
-s/s include: nausea, vomiting, headache, weakness, and
unconsciousness
- *protect airway and use high flow oxygen*
,- be wary of SaO2 sats and monitor carboxyhemoglobin
-may need to use hyperbaric chamber
Care for patient with status epilepticus? Correct Answers
Protect patient
Protect airway
Neuro assessment
Cardia monitoring
Lorazepam
Phenytoin
Phenobarbital (only used if treatment doesn't work cause rr
depression)
cirrhosis of the liver Correct Answers A severe medical
condition where scar tissue in the liver replaces functional
tissue.
Client education for a patient with a full thickness burn?
Correct Answers Get rid of escar for decrease of infection
Sterile cleanse
Dressing changes regularly
Stay warm with blankets
Cover up in sun
Complications of pancreatitis Correct Answers ARDS or
peritonitis
Diagnostic tests for pancreatitis. Correct Answers Increased
amylase and lipase
Hyperglycemia
Increased bilirubin
, Increased WBC
Ca and K decreased.
Education for a patient with adrenal crisis? Correct Answers
Take medication routinely
If increase stress on body (sick or injury) increase the dose
Monitor labs: glucose, NA, & K
Prevent infection
Fat embolism. Correct Answers Comes from a long bone
fracture and best thing to do is prevention which is to
immobilize the extremity.
Monitor fever, tachycardia, and respiratory distress
Give O2, intubate, ventilate, and PEEP
Goals of triage Correct Answers Rapidly identify patient with
urgent life threatening condition.
Determine treatment
Decrease congestion of patients
Provide injury assessment
Provide I for on patient and family in care and wait times
How can burns effect the body? Correct Answers Loss in
temperature regulation
Sweat and sebaceous glands won't function properly.
Sensory and organ dysfunction
Can't synthesize vitamin D
A client with a brain tumor develops diabetes insipidus what
data should the nurse expect to find? SATA
A. Dark urine with increased specific gravity
B. High blood serum osmolality
C. Weight gain with edema
D. Increases thirst
E. Sodium level below 135
F. Urine output 30 ml/hr or less Correct Answers B, D
Acute phase for burns Correct Answers 48-72 hours which is
the diuretic phase and edema goes down.
Promote wound healing, prevent complications, and increase
function of body systems.
Assess: LOC, X-rays, fever, secretions, WBC count, monitor
I&Os, weight, maintain fluid requirement
Autonomic Dysreflexia Correct Answers patients with spinal
cord injuries are at risk for developing autonomic dyreflexia (T-
6 or above) and could be from full bladder, tight clothing, fecal
impact ion, pressure wounds.
carbon monoxide poisoning? Correct Answers -carbon
monoxide binds with hemoglobin and reduces oxygen supply to
tissues
-cannot be seen. smelled, or tasted
-s/s include: nausea, vomiting, headache, weakness, and
unconsciousness
- *protect airway and use high flow oxygen*
,- be wary of SaO2 sats and monitor carboxyhemoglobin
-may need to use hyperbaric chamber
Care for patient with status epilepticus? Correct Answers
Protect patient
Protect airway
Neuro assessment
Cardia monitoring
Lorazepam
Phenytoin
Phenobarbital (only used if treatment doesn't work cause rr
depression)
cirrhosis of the liver Correct Answers A severe medical
condition where scar tissue in the liver replaces functional
tissue.
Client education for a patient with a full thickness burn?
Correct Answers Get rid of escar for decrease of infection
Sterile cleanse
Dressing changes regularly
Stay warm with blankets
Cover up in sun
Complications of pancreatitis Correct Answers ARDS or
peritonitis
Diagnostic tests for pancreatitis. Correct Answers Increased
amylase and lipase
Hyperglycemia
Increased bilirubin
, Increased WBC
Ca and K decreased.
Education for a patient with adrenal crisis? Correct Answers
Take medication routinely
If increase stress on body (sick or injury) increase the dose
Monitor labs: glucose, NA, & K
Prevent infection
Fat embolism. Correct Answers Comes from a long bone
fracture and best thing to do is prevention which is to
immobilize the extremity.
Monitor fever, tachycardia, and respiratory distress
Give O2, intubate, ventilate, and PEEP
Goals of triage Correct Answers Rapidly identify patient with
urgent life threatening condition.
Determine treatment
Decrease congestion of patients
Provide injury assessment
Provide I for on patient and family in care and wait times
How can burns effect the body? Correct Answers Loss in
temperature regulation
Sweat and sebaceous glands won't function properly.
Sensory and organ dysfunction
Can't synthesize vitamin D
