NUR 185 EXAM 2 QUESTIONS WITH COMPLETE
SOLUTIONS
1st degree burn Correct Answers -superficial
-dry w/o vesicles
-sunburn
2nd degree partial thickness burn Correct Answers -large
moist vesicles
-very painful
3 types of fire extinguishers Correct Answers A-paper, wood,
plastic
B-flammable, combustible liquids
C-electrical equipment
3rd degree burn Correct Answers -dry w/leathery eschar
-charred vesicles
-no nerve endings/pain
-hot liquids, chemicals, electrical
4th degree burn Correct Answers -destruction of entire skin
air embolus Correct Answers -air leaked in to pts vein
-break in iv line/air in line
air embolus nursing intervention Correct Answers -turn to left
side
-trendelenberg position
ambien Correct Answers -helps with sleep
, -assess effectiveness
-do not use alcohol while taking
atelectasis Correct Answers -can take several hrs for signs to
appear
-increased risk with burns to face/neck/upper chest
coumadin antidote Correct Answers vitamin k
coumadin inr Correct Answers 2-3
cultural considerations Correct Answers -assess own attitude
first
-assess communication variables
-modify communication needs
-respect pt
-communicate in a non-threatening way
-provide an interpreter
dilaudid/pca pump Correct Answers -antidote im narcan
-monitor labs, vs, cbc, lft
dilaudid/pca pump intervention Correct Answers -stop pump
-rapid response code blue
-call rn to help assist with breathing
dilaudid/pca pump possible side effects Correct Answers -
respiratory depression
-pulse ox less than 90%
-low urine output
-lethargy
SOLUTIONS
1st degree burn Correct Answers -superficial
-dry w/o vesicles
-sunburn
2nd degree partial thickness burn Correct Answers -large
moist vesicles
-very painful
3 types of fire extinguishers Correct Answers A-paper, wood,
plastic
B-flammable, combustible liquids
C-electrical equipment
3rd degree burn Correct Answers -dry w/leathery eschar
-charred vesicles
-no nerve endings/pain
-hot liquids, chemicals, electrical
4th degree burn Correct Answers -destruction of entire skin
air embolus Correct Answers -air leaked in to pts vein
-break in iv line/air in line
air embolus nursing intervention Correct Answers -turn to left
side
-trendelenberg position
ambien Correct Answers -helps with sleep
, -assess effectiveness
-do not use alcohol while taking
atelectasis Correct Answers -can take several hrs for signs to
appear
-increased risk with burns to face/neck/upper chest
coumadin antidote Correct Answers vitamin k
coumadin inr Correct Answers 2-3
cultural considerations Correct Answers -assess own attitude
first
-assess communication variables
-modify communication needs
-respect pt
-communicate in a non-threatening way
-provide an interpreter
dilaudid/pca pump Correct Answers -antidote im narcan
-monitor labs, vs, cbc, lft
dilaudid/pca pump intervention Correct Answers -stop pump
-rapid response code blue
-call rn to help assist with breathing
dilaudid/pca pump possible side effects Correct Answers -
respiratory depression
-pulse ox less than 90%
-low urine output
-lethargy