NURS 4130 Exam #1 || Answered Perfectly 100%.
Family members role in a code correct answers -Caregivers provide comfort, serve as advocates,
& help remind the care team of their 'personhood'
-view themselves as active participants in care process, receive better information to make
decisions
-right to be with the patient
-assign health care team member to explain the care being delivered & answer questions during
resuscitation or invasive procedures
Drowning correct answers -Aggressive resuscitation in prehospital phase improves chance of
survival
-Risk factors; inability to swim, substance use, poor judgement, trauma, seizures, hypothermia,
stroke, child neglect
-Respiratory impairment
-Cold water may slow progression of hypoxic brain injury
-Aspiration in small amount = small edema = ARDS
-Osmotic gradient from aspirated fluids leads to imbalances in the body
-Hypotonic fresh water often contaminated w/ chlorine, mud, algae = rapidly absorbed into
circulation through alveoli = breakdown of surfactant, fluid seepage, & pulmonary edema
-Hypertonic; draws fluid from vascular space into alveoli = hypoxia
Primary Survey steps correct answers ABCDEFG
- Airway & alertness
-Breathing; rate, rhythm, accessory muscle use, color of mucous membranes, auscultate lungs,
JVD
-Circulation & control of hemorrhage; pulses, bleeding, cap refill, cervical spine stabilization,
open airway using jaw-thrust, assess for need to bolus for shock, blood transfusion
-Disability; LOC, GCS (verbal vs painful stimuli), pupils
-Exposure; full body check for other injuries, keep patient warm
, -Full set of vitals & family presence
-Getting other monitoring devices
Smallpox s/s & treatments correct answers S/s; sudden onset of high fever which may be
recurrent, malaise, widespread skin rash, severe headache, backache, abdominal pain, vomiting,
diarrhea
-treatments; supportive care, brincidofovir (tembexa)
Anaphylactic Shock
s/s & treatments correct answers -Acute, life-threatening hypersensitivity reaction = massive
vasodilation, release of vasoactive mediators, increase in capillary permeability = fluid leaks into
interstitial space
-Manifestations; anxiety, confusion, dizziness, sense of impending doom, chest pain,
incontinence, swelling of lips/tongue, wheezing, flushing, pruritus, urticaria, respiratory distress
& circulatory failure
ABC vs CAB correct answers -In instances where someone is having hemorrhaging you would
prioritize circulation before airway or breathing
Burn injuries
-treatments
-lab values of concern
-medications correct answers -Wound care; dressings, antimicrobial cream, hydrocolloids,
alginates, hydrogels, collage, hylauronic acid, dressing changes 1-2 a day, or every 5-7 days if
specialty dressing
-Drug therapy; morphine, hydromorphone (dilaudid), haloperidol (Haldol), lorazepam. (ativan),
midazolam = IV pain meds for fastest onset of action
-Tetanus immunization
-Nutrition therapy; w/in hours of burn injury = reduce complications & mortality, optimize
wound healing, minimize negative effects of hypermetabolism & catabolism
Family members role in a code correct answers -Caregivers provide comfort, serve as advocates,
& help remind the care team of their 'personhood'
-view themselves as active participants in care process, receive better information to make
decisions
-right to be with the patient
-assign health care team member to explain the care being delivered & answer questions during
resuscitation or invasive procedures
Drowning correct answers -Aggressive resuscitation in prehospital phase improves chance of
survival
-Risk factors; inability to swim, substance use, poor judgement, trauma, seizures, hypothermia,
stroke, child neglect
-Respiratory impairment
-Cold water may slow progression of hypoxic brain injury
-Aspiration in small amount = small edema = ARDS
-Osmotic gradient from aspirated fluids leads to imbalances in the body
-Hypotonic fresh water often contaminated w/ chlorine, mud, algae = rapidly absorbed into
circulation through alveoli = breakdown of surfactant, fluid seepage, & pulmonary edema
-Hypertonic; draws fluid from vascular space into alveoli = hypoxia
Primary Survey steps correct answers ABCDEFG
- Airway & alertness
-Breathing; rate, rhythm, accessory muscle use, color of mucous membranes, auscultate lungs,
JVD
-Circulation & control of hemorrhage; pulses, bleeding, cap refill, cervical spine stabilization,
open airway using jaw-thrust, assess for need to bolus for shock, blood transfusion
-Disability; LOC, GCS (verbal vs painful stimuli), pupils
-Exposure; full body check for other injuries, keep patient warm
, -Full set of vitals & family presence
-Getting other monitoring devices
Smallpox s/s & treatments correct answers S/s; sudden onset of high fever which may be
recurrent, malaise, widespread skin rash, severe headache, backache, abdominal pain, vomiting,
diarrhea
-treatments; supportive care, brincidofovir (tembexa)
Anaphylactic Shock
s/s & treatments correct answers -Acute, life-threatening hypersensitivity reaction = massive
vasodilation, release of vasoactive mediators, increase in capillary permeability = fluid leaks into
interstitial space
-Manifestations; anxiety, confusion, dizziness, sense of impending doom, chest pain,
incontinence, swelling of lips/tongue, wheezing, flushing, pruritus, urticaria, respiratory distress
& circulatory failure
ABC vs CAB correct answers -In instances where someone is having hemorrhaging you would
prioritize circulation before airway or breathing
Burn injuries
-treatments
-lab values of concern
-medications correct answers -Wound care; dressings, antimicrobial cream, hydrocolloids,
alginates, hydrogels, collage, hylauronic acid, dressing changes 1-2 a day, or every 5-7 days if
specialty dressing
-Drug therapy; morphine, hydromorphone (dilaudid), haloperidol (Haldol), lorazepam. (ativan),
midazolam = IV pain meds for fastest onset of action
-Tetanus immunization
-Nutrition therapy; w/in hours of burn injury = reduce complications & mortality, optimize
wound healing, minimize negative effects of hypermetabolism & catabolism
