NUR 258 EXAM 4 QUESTIONS WITH COMPLETE
SOLUTIONS
3 main conditions that calls for chest drainage? Correct Answer
-pneumothorax
-hemothorax
-pleural effusion
3 strong predictors for mortality in burns Correct Answer 1.
Increased % of TBSA
2. Inhalation injury present
3. Increased age
3rd degree burn s/s Correct Answer -white, brown, charred,
leathery
-wound dry, no blisters
-hair follicles and sweat glands destroyed
A 41 year old scientists comes to the ED via EMS due to a
chemical explosion in a lab. He has burns scattered over his
arms and abdomen. What method would you use to measure he
burn? Correct Answer Palmer method
A patient walks into the ED claiming he was burned by the
stove. Upon assessment, the nurse notices only the dermis is
involved as there is no blistering or edema, only blanching
redness. What kind of burn degree is this?
A. Third Degree
B. First Degree
C. Fourth Degree
, D. Second Degree Correct Answer 1st degree. This is
superficial as only the dermis is involved. Wound heals within 7
days
A patient with lower airway inhalation may present with what
lab value Correct Answer Carboxyhemoglobin
Acute kidney injury symptoms Correct Answer -High BUN
and creatinine
-Low urinary output (oliguric/non-oliguric)
-Hyperkalemia, Hyperphosphatemia
-Hypocalcemia
AKI stimulates what B/P compensatory mechanism Correct
Answer RAAS
At what time does the greatest amount of fluid loss occur?
Correct Answer 24-36 hours. Peaks at 6-8 hours
Carboxyhemoglobin Correct Answer Carbon monoxide
bound with hemoglobin preventing H2O to bind
Chest tube removal nursing education Correct Answer Ask
patient to bear down and hold breath
Collection chamber Correct Answer Receives fluid & air from
chest cavity
Destruction of RBCs, decreased blood flow and release of
myoglobin causes.... Correct Answer Acute tubular necrosis
SOLUTIONS
3 main conditions that calls for chest drainage? Correct Answer
-pneumothorax
-hemothorax
-pleural effusion
3 strong predictors for mortality in burns Correct Answer 1.
Increased % of TBSA
2. Inhalation injury present
3. Increased age
3rd degree burn s/s Correct Answer -white, brown, charred,
leathery
-wound dry, no blisters
-hair follicles and sweat glands destroyed
A 41 year old scientists comes to the ED via EMS due to a
chemical explosion in a lab. He has burns scattered over his
arms and abdomen. What method would you use to measure he
burn? Correct Answer Palmer method
A patient walks into the ED claiming he was burned by the
stove. Upon assessment, the nurse notices only the dermis is
involved as there is no blistering or edema, only blanching
redness. What kind of burn degree is this?
A. Third Degree
B. First Degree
C. Fourth Degree
, D. Second Degree Correct Answer 1st degree. This is
superficial as only the dermis is involved. Wound heals within 7
days
A patient with lower airway inhalation may present with what
lab value Correct Answer Carboxyhemoglobin
Acute kidney injury symptoms Correct Answer -High BUN
and creatinine
-Low urinary output (oliguric/non-oliguric)
-Hyperkalemia, Hyperphosphatemia
-Hypocalcemia
AKI stimulates what B/P compensatory mechanism Correct
Answer RAAS
At what time does the greatest amount of fluid loss occur?
Correct Answer 24-36 hours. Peaks at 6-8 hours
Carboxyhemoglobin Correct Answer Carbon monoxide
bound with hemoglobin preventing H2O to bind
Chest tube removal nursing education Correct Answer Ask
patient to bear down and hold breath
Collection chamber Correct Answer Receives fluid & air from
chest cavity
Destruction of RBCs, decreased blood flow and release of
myoglobin causes.... Correct Answer Acute tubular necrosis
