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NUR 417 Exam 3 blueprint Questions and Answers with
100% Complete Solutions UPDATED!!!
Mandatory Reporting - ANSWER -abuse: child or elder abuse,
domestic violence
-communicable diseases (according to CDC) such as hepatitis
and TB
Primary survey - ANSWER The primary survey aims to identify
life-threatening conditions so that appropriate interventions
can be started. You may identify life-threatening conditions
related to ABCs at any point during the primary survey. When
this occurs, start interventions immediately, before moving to
the next step of the survey.
Airway/alertness
Breathing
Circulation
Disability
Exposure and environmental control
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Facilitate Adjuncts and family- assess vitals and pulse oximetry,
determine caregivers desire to be present
Get resuscitation adjuncts
Therapeutic hypothermia - ANSWER Also known as targeted
temperature control, used for patients in non-traumatic cardiac
arrest
TTM, also called therapeutic hypothermia, involves 3 phases:
induction, maintenance, and rewarming. The induction phase
begins in the ED. The goal core temperature is 89.6° to 96.8°F
(32° to 36°C). We use a variety of methods to cool patients.
These include cold saline infusions and surface cooling devices
(e.g., Arctic Sun). Patients need intubation, mechanical
ventilation, and invasive monitoring and require continuous
assessment. Protocols often direct the care of these patients.
submersion injury (PC) - ANSWER This results when a person
sustains a hypoxic injury from submersion in liquid
Most of the victims are children younger than 5 years of age or
boys and men between ages 15 and 25.
Risk factors: inability to swim, use of alcohol or drugs, trauma,
seizures, hypothermia, stroke, and child neglect.
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Pathophysiology:
Treatment: Aggressive resuscitation efforts (e.g., airway and
ventilation management) especially in the pre-hospital phase.
Treatment focuses on correcting hypoxia and fluid imbalances,
supporting basic physiologic functions, and rewarming when
hypothermia is present. Mechanical ventilation with positive
end-expiratory pressure or continuous positive airway pressure
can improve gas exchange across the alveolar-capillary
membrane when significant pulmonary edema is present.
Ventilation and oxygenation are the main techniques for
treating respiratory failure. Deterioration in neurologic status
suggests cerebral edema, worsening hypoxia, or profound
acidosis. Drowning victims may have head and neck injuries
that cause changes in the LOC. Complications can develop in
patients who are free of symptoms immediately after the
drowning episode. Consequently, observe all victims of
drowning in a hospital for a minimum of 23 hours.
Patient education: Patient teaching focuses on water safety and
how to reduce the risks for drowning. Remind patients and
caregivers to lock all swimming pool gates; use life jackets on all
watercrafts, including inner tubes and rafts; and learn water
survival skills. Emphasize the dangers of combining alcohol and
drugs with swimming and other water sports.
NUR 417 Exam 3 blueprint Questions and Answers with
100% Complete Solutions UPDATED!!!
Mandatory Reporting - ANSWER -abuse: child or elder abuse,
domestic violence
-communicable diseases (according to CDC) such as hepatitis
and TB
Primary survey - ANSWER The primary survey aims to identify
life-threatening conditions so that appropriate interventions
can be started. You may identify life-threatening conditions
related to ABCs at any point during the primary survey. When
this occurs, start interventions immediately, before moving to
the next step of the survey.
Airway/alertness
Breathing
Circulation
Disability
Exposure and environmental control
,2|Page
Facilitate Adjuncts and family- assess vitals and pulse oximetry,
determine caregivers desire to be present
Get resuscitation adjuncts
Therapeutic hypothermia - ANSWER Also known as targeted
temperature control, used for patients in non-traumatic cardiac
arrest
TTM, also called therapeutic hypothermia, involves 3 phases:
induction, maintenance, and rewarming. The induction phase
begins in the ED. The goal core temperature is 89.6° to 96.8°F
(32° to 36°C). We use a variety of methods to cool patients.
These include cold saline infusions and surface cooling devices
(e.g., Arctic Sun). Patients need intubation, mechanical
ventilation, and invasive monitoring and require continuous
assessment. Protocols often direct the care of these patients.
submersion injury (PC) - ANSWER This results when a person
sustains a hypoxic injury from submersion in liquid
Most of the victims are children younger than 5 years of age or
boys and men between ages 15 and 25.
Risk factors: inability to swim, use of alcohol or drugs, trauma,
seizures, hypothermia, stroke, and child neglect.
, 3|Page
Pathophysiology:
Treatment: Aggressive resuscitation efforts (e.g., airway and
ventilation management) especially in the pre-hospital phase.
Treatment focuses on correcting hypoxia and fluid imbalances,
supporting basic physiologic functions, and rewarming when
hypothermia is present. Mechanical ventilation with positive
end-expiratory pressure or continuous positive airway pressure
can improve gas exchange across the alveolar-capillary
membrane when significant pulmonary edema is present.
Ventilation and oxygenation are the main techniques for
treating respiratory failure. Deterioration in neurologic status
suggests cerebral edema, worsening hypoxia, or profound
acidosis. Drowning victims may have head and neck injuries
that cause changes in the LOC. Complications can develop in
patients who are free of symptoms immediately after the
drowning episode. Consequently, observe all victims of
drowning in a hospital for a minimum of 23 hours.
Patient education: Patient teaching focuses on water safety and
how to reduce the risks for drowning. Remind patients and
caregivers to lock all swimming pool gates; use life jackets on all
watercrafts, including inner tubes and rafts; and learn water
survival skills. Emphasize the dangers of combining alcohol and
drugs with swimming and other water sports.
