NUR 265 TEST 3 QUESTIONS AND
ANSWERS
What bcauses bAutonomic bDysreflexia b- bcorrect banswer✔✔Stimulation bat blevel bof bT6
bor babove
What bare bsome bexamples bof btriggers bof bautonomic bdysreflexia b- bcorrect
banswer✔✔restrictive bclothing; bfull bbladder/neurogenic bbladder; bfecal bimpaction;
bdirective bpressure bs/a bsitting bin bthe bwheel bchair
signs band bsystems bof bAutonomic bDysreflexia b- bcorrect banswer✔✔hypertension,
bflushed bface, bheadaches, bJVD, bbradycardic, bdiaphoresis, bpale bext bbelow bthe blevel
bof bT6, bnausea, bdilated bpupils, bblurred bvision, brestlessness
What bis bthe bpurpose bof bfluid bresuscitation bfor ba bburn bvictim b- bcorrect
banswer✔✔maintain bvital borgan bperfusion, breduce bedema, bminimize beffects bof bfluid
bshifts, bprevent bhypovolemic bshock
What bIV bsolution bis bcommonly bused bto bresuscitate ba bpt bwith ba bburn b- bcorrect
banswer✔✔Lactated bringers
Chemical bburns bshould bbe birrigated buntil b- bcorrect banswer✔✔20 bminutes bor bthe
bburn bsensation bcontinues bafter bthe b20 bminute bmarker
what bwould byou buse bto bremove bhot btar bor basphalt b- bcorrect banswer✔✔citrus
bpetroleum bjelly bex; bmedisol
petroleum bjelly
antibiotic bointment
what bkind bof bbrain binjury bwould byou bexpect bif ban badult bclient bis bpositive bfor
bPalmer's binfant breflexes b- bcorrect banswer✔✔cortical band bpremotor bcortex bdamage
what bkind bof bbrain binjury bwould byou bexpect bif ban badult bclient bis bpositive bfor
bplantar binfant breflexes b- bcorrect banswer✔✔upper bmotor bneuron blesion
what bkind bof bbrain binjury bwould byou bexpect bif ban badult bclient bis bpositive bfor
brooting binfant breflex b- bcorrect banswer✔✔frontal blobe bdamage
,what bkind bof bbrain binjury bwould byou bexpect bif ban badult bclient bis bpositive bfor
bsucking binfant breflex b- bcorrect banswer✔✔Advance bdementia; bcortical bbrain
bdamage
what bkind bof bbrain binjury bwould byou bexpect bif ban badult bclient bis bpositive bfor
bglabella b(persistent bblinking) binfant breflex b- bcorrect banswer✔✔diffuse bcortical
bdysfunction
What bis bthe bconsensus bformula bfor bburns b- bcorrect banswer✔✔2-4 bml bX bTBSA bX
bKG
What bS&S bare bexpected bfor ba bburn bclient bwho bis breceiving bthe bfirst b8 bhours bof
bfluid bresuscitation b- bcorrect banswer✔✔Restlessness, banxiety, bHypothermia
how bmuch bfluid breplacement bare byou bgoing bto bgive bthe bfirst b8 bhours b- bcorrect
banswer✔✔1/2 bof bthe bfluid bconsensus
What bdo byou bneed bto bmonitor bwhen bresuscitating bfluids bfor bburn bpt bto bmake bsure
bthat bit bis bworking b- bcorrect banswer✔✔Urine boutput
Besides ba bhyperbaric bchamber bhow bwould byou badmin bo2 bto ba bclient bwith bCO
bpoisoning b- bcorrect banswer✔✔100% bO2 bwith ba bnon-rebreather
How bwould byou btreat ba bcircumferential btrunk bburn bthat bis bswelling band bwhy? b-
bcorrect banswer✔✔Eschartomies bR/T bconstriction bof bthe bchest bwall bexpansion
what bare bthe bclassification bof bshock b- bcorrect banswer✔✔Cardiogenic; bhypovolemic,
bneurogenic, band bDisruptive
All bshock bis bcaused bby b- bcorrect banswer✔✔inadequate btissue bperfusion
Patho bof bhypovolemic bshock b- bcorrect banswer✔✔Inadequate bcirculating bblood
bvolume bS/A bburns, bhemorrhage, bdehydration
Patho bfor bcardiogenic bshock b- bcorrect banswer✔✔Inadequate bpumping baction bof
bthe bheart bS/A bMI, bCHF, bPE
What bare bthe b3 bsubclasses bof bDistributive bshock b- bcorrect banswer✔✔Anaphylactic;
bSeptic; bNeurogenic
Patho bfor bneurogenic bshock b- bcorrect banswer✔✔interference bof bthe bnervous
bsystem bthat bcontrols bthe bblood bvessels
Patho bfor bseptic bshock b- bcorrect banswer✔✔Release bof bvasoactive bsubstance bfrom
bthe bimmune bsystem
, How bmuch bblood bloss bis brequired bfor bthe bpatient bto bbe bat bhigh brisk bfor
bhypovolemic bshock b- bcorrect banswer✔✔15-25%, bor b1/3 bof bthe bbody bblood, bor b5L
clients bwho bexperience bslow bblood bloss bcan b- bcorrect banswer✔✔Tolerate bthe
bblood bloss bbetter bthen ba bclient bwith brapid bblood bloss
Signs band bsymptoms bof bcompensatory bshock b- bcorrect banswer✔✔hypotension,
btachycardia, btachypnea, bhypothermia, bdecrease bpulse bpressure
During bcompensatory bstage bof bshock, bwhy bwould byou bhear bhypoactive bbowl
bsounds band bcool band bclammy bskin b- bcorrect banswer✔✔Body bshunting bblood bfrom
bskin, bkidneys band bGI bto bprovide badequate bblood bvolume bto bthe bbrain band bheart
Why bwould burine boutput bdecrease bduring bcompensatory bstage bof bshock b- bcorrect
banswer✔✔High bproduction bof baldosterone
why bdo bRR bincrease bin bcompensatory bstage bof bshock b- bcorrect banswer✔✔The
bbody bis bgoing binto bacidotic bstate btrying bto bblow bit boff bKussmals
What bis bthe bbyproduct bof banaerobic bmetabolism bthat bis bdeveloping bin bwhat bstage
bof bshock b- bcorrect banswer✔✔Lactic bacid, bCompensatory
Why bwould byou bnot bgive bsomeone bwith bimpaired bhepatic bfunction blactated bringers
b- bcorrect banswer✔✔Because bit bdoes bnot bconvert blactic bacid binto bbicarb bfast
benough bcould bgo binto bacidosis
why bwould byou bcheck bfor bhigh blevels bof bsodium bnd bglucose bin bthe bcompensatory
bstage bof bshock b- bcorrect banswer✔✔Because bof bthe brelease bof balderstone band
bcatecholamines bwhich bis bused bto bregulate bblood bvolume
What bstage bof bshock bthat blactic bacid bis bat bthe bhighest b- bcorrect
banswer✔✔progressive
What bhappends bto bthe bbody bwhen bbuild bup bof blactic bacid boccurs b- bcorrect
banswer✔✔increase bcapillary bpermeability; brelaxation bof bcapillary bspincter; bblood bis
bretaining bin bthe bcap bbeds
S&S bof bthe bprogressive bstage bof bshock b- bcorrect banswer✔✔Hypoxia, balveolar
bcollapse, bpulmonary bedema, bcardiac bdysrhythmias, bischemic bheart, bARF, bDIC,
bMental bstatus bchange
Patho bof bthe bprogressive bstage bof bshock b- bcorrect banswer✔✔organ bsuffering bfrom
bhypoxia, bvasoconstriction bdecrease bcell bperfusion, bGFR bcannot bbe bmaintained
How bdo byou bcalculate bMAP b- bcorrect banswer✔✔Systolic b(2 bX bdiastolic) b/ b3
ANSWERS
What bcauses bAutonomic bDysreflexia b- bcorrect banswer✔✔Stimulation bat blevel bof bT6
bor babove
What bare bsome bexamples bof btriggers bof bautonomic bdysreflexia b- bcorrect
banswer✔✔restrictive bclothing; bfull bbladder/neurogenic bbladder; bfecal bimpaction;
bdirective bpressure bs/a bsitting bin bthe bwheel bchair
signs band bsystems bof bAutonomic bDysreflexia b- bcorrect banswer✔✔hypertension,
bflushed bface, bheadaches, bJVD, bbradycardic, bdiaphoresis, bpale bext bbelow bthe blevel
bof bT6, bnausea, bdilated bpupils, bblurred bvision, brestlessness
What bis bthe bpurpose bof bfluid bresuscitation bfor ba bburn bvictim b- bcorrect
banswer✔✔maintain bvital borgan bperfusion, breduce bedema, bminimize beffects bof bfluid
bshifts, bprevent bhypovolemic bshock
What bIV bsolution bis bcommonly bused bto bresuscitate ba bpt bwith ba bburn b- bcorrect
banswer✔✔Lactated bringers
Chemical bburns bshould bbe birrigated buntil b- bcorrect banswer✔✔20 bminutes bor bthe
bburn bsensation bcontinues bafter bthe b20 bminute bmarker
what bwould byou buse bto bremove bhot btar bor basphalt b- bcorrect banswer✔✔citrus
bpetroleum bjelly bex; bmedisol
petroleum bjelly
antibiotic bointment
what bkind bof bbrain binjury bwould byou bexpect bif ban badult bclient bis bpositive bfor
bPalmer's binfant breflexes b- bcorrect banswer✔✔cortical band bpremotor bcortex bdamage
what bkind bof bbrain binjury bwould byou bexpect bif ban badult bclient bis bpositive bfor
bplantar binfant breflexes b- bcorrect banswer✔✔upper bmotor bneuron blesion
what bkind bof bbrain binjury bwould byou bexpect bif ban badult bclient bis bpositive bfor
brooting binfant breflex b- bcorrect banswer✔✔frontal blobe bdamage
,what bkind bof bbrain binjury bwould byou bexpect bif ban badult bclient bis bpositive bfor
bsucking binfant breflex b- bcorrect banswer✔✔Advance bdementia; bcortical bbrain
bdamage
what bkind bof bbrain binjury bwould byou bexpect bif ban badult bclient bis bpositive bfor
bglabella b(persistent bblinking) binfant breflex b- bcorrect banswer✔✔diffuse bcortical
bdysfunction
What bis bthe bconsensus bformula bfor bburns b- bcorrect banswer✔✔2-4 bml bX bTBSA bX
bKG
What bS&S bare bexpected bfor ba bburn bclient bwho bis breceiving bthe bfirst b8 bhours bof
bfluid bresuscitation b- bcorrect banswer✔✔Restlessness, banxiety, bHypothermia
how bmuch bfluid breplacement bare byou bgoing bto bgive bthe bfirst b8 bhours b- bcorrect
banswer✔✔1/2 bof bthe bfluid bconsensus
What bdo byou bneed bto bmonitor bwhen bresuscitating bfluids bfor bburn bpt bto bmake bsure
bthat bit bis bworking b- bcorrect banswer✔✔Urine boutput
Besides ba bhyperbaric bchamber bhow bwould byou badmin bo2 bto ba bclient bwith bCO
bpoisoning b- bcorrect banswer✔✔100% bO2 bwith ba bnon-rebreather
How bwould byou btreat ba bcircumferential btrunk bburn bthat bis bswelling band bwhy? b-
bcorrect banswer✔✔Eschartomies bR/T bconstriction bof bthe bchest bwall bexpansion
what bare bthe bclassification bof bshock b- bcorrect banswer✔✔Cardiogenic; bhypovolemic,
bneurogenic, band bDisruptive
All bshock bis bcaused bby b- bcorrect banswer✔✔inadequate btissue bperfusion
Patho bof bhypovolemic bshock b- bcorrect banswer✔✔Inadequate bcirculating bblood
bvolume bS/A bburns, bhemorrhage, bdehydration
Patho bfor bcardiogenic bshock b- bcorrect banswer✔✔Inadequate bpumping baction bof
bthe bheart bS/A bMI, bCHF, bPE
What bare bthe b3 bsubclasses bof bDistributive bshock b- bcorrect banswer✔✔Anaphylactic;
bSeptic; bNeurogenic
Patho bfor bneurogenic bshock b- bcorrect banswer✔✔interference bof bthe bnervous
bsystem bthat bcontrols bthe bblood bvessels
Patho bfor bseptic bshock b- bcorrect banswer✔✔Release bof bvasoactive bsubstance bfrom
bthe bimmune bsystem
, How bmuch bblood bloss bis brequired bfor bthe bpatient bto bbe bat bhigh brisk bfor
bhypovolemic bshock b- bcorrect banswer✔✔15-25%, bor b1/3 bof bthe bbody bblood, bor b5L
clients bwho bexperience bslow bblood bloss bcan b- bcorrect banswer✔✔Tolerate bthe
bblood bloss bbetter bthen ba bclient bwith brapid bblood bloss
Signs band bsymptoms bof bcompensatory bshock b- bcorrect banswer✔✔hypotension,
btachycardia, btachypnea, bhypothermia, bdecrease bpulse bpressure
During bcompensatory bstage bof bshock, bwhy bwould byou bhear bhypoactive bbowl
bsounds band bcool band bclammy bskin b- bcorrect banswer✔✔Body bshunting bblood bfrom
bskin, bkidneys band bGI bto bprovide badequate bblood bvolume bto bthe bbrain band bheart
Why bwould burine boutput bdecrease bduring bcompensatory bstage bof bshock b- bcorrect
banswer✔✔High bproduction bof baldosterone
why bdo bRR bincrease bin bcompensatory bstage bof bshock b- bcorrect banswer✔✔The
bbody bis bgoing binto bacidotic bstate btrying bto bblow bit boff bKussmals
What bis bthe bbyproduct bof banaerobic bmetabolism bthat bis bdeveloping bin bwhat bstage
bof bshock b- bcorrect banswer✔✔Lactic bacid, bCompensatory
Why bwould byou bnot bgive bsomeone bwith bimpaired bhepatic bfunction blactated bringers
b- bcorrect banswer✔✔Because bit bdoes bnot bconvert blactic bacid binto bbicarb bfast
benough bcould bgo binto bacidosis
why bwould byou bcheck bfor bhigh blevels bof bsodium bnd bglucose bin bthe bcompensatory
bstage bof bshock b- bcorrect banswer✔✔Because bof bthe brelease bof balderstone band
bcatecholamines bwhich bis bused bto bregulate bblood bvolume
What bstage bof bshock bthat blactic bacid bis bat bthe bhighest b- bcorrect
banswer✔✔progressive
What bhappends bto bthe bbody bwhen bbuild bup bof blactic bacid boccurs b- bcorrect
banswer✔✔increase bcapillary bpermeability; brelaxation bof bcapillary bspincter; bblood bis
bretaining bin bthe bcap bbeds
S&S bof bthe bprogressive bstage bof bshock b- bcorrect banswer✔✔Hypoxia, balveolar
bcollapse, bpulmonary bedema, bcardiac bdysrhythmias, bischemic bheart, bARF, bDIC,
bMental bstatus bchange
Patho bof bthe bprogressive bstage bof bshock b- bcorrect banswer✔✔organ bsuffering bfrom
bhypoxia, bvasoconstriction bdecrease bcell bperfusion, bGFR bcannot bbe bmaintained
How bdo byou bcalculate bMAP b- bcorrect banswer✔✔Systolic b(2 bX bdiastolic) b/ b3
