Rasmussen College MDC 4 Exam 2 Questions and Answers Verified 100% correct

Rasmussen College MDC 4 Exam 2 Questions and Answers Verified 100% correct What are the components of DIC? - ANSWER -Inappropriate clotting that uses up all the clotting factors and bleeding due to not having enough clotting factors bath the same time. A client comes in to the ED experiencing DIC. What treatment might the provider order for this condition? - ANSWER -Clotting factors, blood, plasma, platelets, heparin or other anticoagulant What could happen if DIC is not treated? - ANSWER -Refractory shock, septic shock, excessive blood loss A client is scheduled to go in for an escharotomy. What does this procedure entail? - ANSWER -Involves surgical incision through the hardened dermis in 3rd and 4th degree burns to allow for circulation. Calculate the TBSA according to rule of 9s for this patient back of right arm is burned, entire backside. - ANSWER -Back of right arm= 4.5% Entire backside= 18% Total= 22.5% Calculate the TBSA according to the rule of 9s for this patient left and right legs front and back groin back and front of lower abdomen - ANSWER -left and right legs front and back= 9% groin=1% back and front of lower abdomen= 18% Total= 28% A patient has had massive blood loss following trauma. The nurse is concerned about hypovolemic shock. How should the nurse position the patient to prevent this? - ANSWER -Either supine or in modified trendelenberg with feet up What are important interventions to be done during the acute phase of a burn injury? - ANSWER -Prevent infection Prevent further skin injury and repair the wound Increase nutrition and calories What s/s prompts the burn nurse to know that fluid resuscitation has been completed? - ANSWER -Occurrence of clear yellow urine at least 30 ml/ hr or 0.5 ml/kg/hr What might occur during the emergent phase of burns? - ANSWER -A fluid shift hat causes hyperkalemia that resolves once fluid misgiven back to the patient. A client presents to the ED with a sucking chest wound. What cares shoulder delivered to the patient? - ANSWER -Place an airtight gaze dressing over site. Intubate and place chest tube. Calculate the total amount of fluid that will be given to this burn patient within the 1st 24 hrs of fluid resus. Round to nearest whole number. Patient wights 135 lbs and has a TBSA of 30% - ANSWER -4 mls x 61.36 kg x 30%= 7,363 ml in 24 hrs Calculate the amount of fluid that will be given to this burn patient in the 1st 8 hours of fluid resus. Round to nearest whole number. Patient weights 280 lbs with a TBSA of 80% - ANSWER -4 mls x 127.3 kg x 80% / 2 = 20,360 ml in the first 8 hrs A patient with a severe spinal cord injury and may go into neurogenic shock. What are some of the signs and symptoms that might be seen? - ANSWER -Low HR and BP, poikilothermia. A patient is diagnosed with neurogenic shock. What are key nursing interventions the nurse can provide for the patient? - ANSWER -Ensure airway, Stabilization of the spine, keep patient in warm room. A nurse is going over orders before providing a patient with wound care. She sees the patient is allergic to sulfa drugs. What wound care dressing should not be applied to the patient? - ANSWER -Silver sulfadiazine A client who is in severe neurogenic shock from a spinal cord injury from a car accident is given norepinephrine. There was no indication of a prior allergy to the medication, but the client is reporting the IV site is painful and itchy. What should the nurse do first? - ANSWER -Stop the IV infusion Epinephrine does what to the vessels as norepinephrine does what? - ANSWER Epinephrine= vasodilates while Norepinephrine= vasoconstricts A client who has had an MI and may potentially go into cardigenic shock should not get which medication and why? - ANSWER -Norepinephrine because further vasoconstriction can cause severe chest pain and decreased perfusion A patient is in a fluid volume deficit due to hypovolemic shock. How might their wedge pressure look like? - ANSWER -It will be low A client is diagnosed with cariogenic shock after having a MI. What are key manifestations of this condition? - ANSWER -SOB, crackles, pink sputum, low BP. A provider enters in to give dobutamine to a patient with cardigoenic shock. What is this medication and what does it do? - ANSWER -Dobutamine is a inotropic medication that is used to improve how well the heart pumps. A provider tells the nurse the patient with a PE will be going to a test to confirm the clots presence. What is the name of this test and what is critical the nurse do before she sends the patient down? - ANSWER -CT angiogram.