NUR 265 Exam 3 | Questions and Answers |
Fall 2025/26 Update | 100% Correct.
What causes Autonomic Dysreflexia - AnswerStimulation at level of T6 or above
What are some examples of triggers of autonomic dysreflexia - Answerrestrictive clothing; full
bladder/neurogenic bladder; fecal impaction; directive pressure s/a sitting in the wheel chair
signs and systems of Autonomic Dysreflexia - Answerhypertension, flushed face, headaches, JVD,
bradycardic, diaphoresis, pale ext below the level of T6, nausea, dilated pupils, blurred vision,
restlessness
What is the purpose of fluid resuscitation for a burn victim - Answermaintain vital organ perfusion,
reduce edema, minimize effects of fluid shifts, prevent hypovolemic shock
What IV solution is commonly used to resuscitate a pt with a burn - AnswerLactated ringers
Chemical burns should be irrigated until - Answer20 minutes or the burn sensation continues after
the 20 minute marker
what would you use to remove hot tar or asphalt - Answercitrus petroleum jelly ex; medisol
petroleum jelly
antibiotic ointment
what kind of brain injury would you expect if an adult client is positive for Palmer's infant reflexes -
Answercortical and premotor cortex damage
,what kind of brain injury would you expect if an adult client is positive for plantar infant reflexes -
Answerupper motor neuron lesion
what kind of brain injury would you expect if an adult client is positive for rooting infant reflex -
Answerfrontal lobe damage
what kind of brain injury would you expect if an adult client is positive for sucking infant reflex -
AnswerAdvance dementia; cortical brain damage
what kind of brain injury would you expect if an adult client is positive for glabella (persistent
blinking) infant reflex - Answerdiffuse cortical dysfunction
What is the consensus formula for burns - Answer2-4 ml X TBSA X KG
What S&S are expected for a burn client who is receiving the first 8 hours of fluid resuscitation -
AnswerRestlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first 8 hours - Answer1/2 of the fluid
consensus
What do you need to monitor when resuscitating fluids for burn pt to make sure that it is working -
AnswerUrine output
Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning - Answer100%
O2 with a non-rebreather
How would you treat a circumferential trunk burn that is swelling and why? - AnswerEschartomies
R/T constriction of the chest wall expansion
what are the classification of shock - AnswerCardiogenic; hypovolemic, neurogenic, and Disruptive
, All shock is caused by - Answerinadequate tissue perfusion
Patho of hypovolemic shock - AnswerInadequate circulating blood volume S/A burns, hemorrhage,
dehydration
Patho for cardiogenic shock - AnswerInadequate pumping action of the heart S/A MI, CHF, PE
What care cthe c3 csubclasses cof cDistributive cshock c- cAnswerAnaphylactic; cSeptic; cNeurogenic
Patho cfor cneurogenic cshock c- cAnswerinterference cof cthe cnervous csystem cthat ccontrols cthe cblood
cvessels
Patho cfor cseptic cshock c- cAnswerRelease cof cvasoactive csubstance cfrom cthe cimmune csystem
How cmuch cblood closs cis crequired cfor cthe cpatient cto cbe cat chigh crisk cfor chypovolemic cshock c-
cAnswer15-25%, cor c1/3 cof cthe cbody cblood, cor c5L
clients cwho cexperience cslow cblood closs ccan c- cAnswerTolerate cthe cblood closs cbetter cthen ca cclient
cwith crapid cblood closs
Signs cand csymptoms cof ccompensatory cshock c- cAnswerhypotension, ctachycardia, ctachypnea,
chypothermia, cdecrease cpulse cpressure
During ccompensatory cstage cof cshock, cwhy cwould cyou chear chypoactive cbowl csounds cand ccool cand
cclammy cskin c- cAnswerBody cshunting cblood cfrom cskin, ckidneys cand cGI cto cprovide cadequate cblood
cvolume cto cthe cbrain cand cheart
Why cwould curine coutput cdecrease cduring ccompensatory cstage cof cshock c- cAnswerHigh cproduction
cof caldosterone
Fall 2025/26 Update | 100% Correct.
What causes Autonomic Dysreflexia - AnswerStimulation at level of T6 or above
What are some examples of triggers of autonomic dysreflexia - Answerrestrictive clothing; full
bladder/neurogenic bladder; fecal impaction; directive pressure s/a sitting in the wheel chair
signs and systems of Autonomic Dysreflexia - Answerhypertension, flushed face, headaches, JVD,
bradycardic, diaphoresis, pale ext below the level of T6, nausea, dilated pupils, blurred vision,
restlessness
What is the purpose of fluid resuscitation for a burn victim - Answermaintain vital organ perfusion,
reduce edema, minimize effects of fluid shifts, prevent hypovolemic shock
What IV solution is commonly used to resuscitate a pt with a burn - AnswerLactated ringers
Chemical burns should be irrigated until - Answer20 minutes or the burn sensation continues after
the 20 minute marker
what would you use to remove hot tar or asphalt - Answercitrus petroleum jelly ex; medisol
petroleum jelly
antibiotic ointment
what kind of brain injury would you expect if an adult client is positive for Palmer's infant reflexes -
Answercortical and premotor cortex damage
,what kind of brain injury would you expect if an adult client is positive for plantar infant reflexes -
Answerupper motor neuron lesion
what kind of brain injury would you expect if an adult client is positive for rooting infant reflex -
Answerfrontal lobe damage
what kind of brain injury would you expect if an adult client is positive for sucking infant reflex -
AnswerAdvance dementia; cortical brain damage
what kind of brain injury would you expect if an adult client is positive for glabella (persistent
blinking) infant reflex - Answerdiffuse cortical dysfunction
What is the consensus formula for burns - Answer2-4 ml X TBSA X KG
What S&S are expected for a burn client who is receiving the first 8 hours of fluid resuscitation -
AnswerRestlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first 8 hours - Answer1/2 of the fluid
consensus
What do you need to monitor when resuscitating fluids for burn pt to make sure that it is working -
AnswerUrine output
Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning - Answer100%
O2 with a non-rebreather
How would you treat a circumferential trunk burn that is swelling and why? - AnswerEschartomies
R/T constriction of the chest wall expansion
what are the classification of shock - AnswerCardiogenic; hypovolemic, neurogenic, and Disruptive
, All shock is caused by - Answerinadequate tissue perfusion
Patho of hypovolemic shock - AnswerInadequate circulating blood volume S/A burns, hemorrhage,
dehydration
Patho for cardiogenic shock - AnswerInadequate pumping action of the heart S/A MI, CHF, PE
What care cthe c3 csubclasses cof cDistributive cshock c- cAnswerAnaphylactic; cSeptic; cNeurogenic
Patho cfor cneurogenic cshock c- cAnswerinterference cof cthe cnervous csystem cthat ccontrols cthe cblood
cvessels
Patho cfor cseptic cshock c- cAnswerRelease cof cvasoactive csubstance cfrom cthe cimmune csystem
How cmuch cblood closs cis crequired cfor cthe cpatient cto cbe cat chigh crisk cfor chypovolemic cshock c-
cAnswer15-25%, cor c1/3 cof cthe cbody cblood, cor c5L
clients cwho cexperience cslow cblood closs ccan c- cAnswerTolerate cthe cblood closs cbetter cthen ca cclient
cwith crapid cblood closs
Signs cand csymptoms cof ccompensatory cshock c- cAnswerhypotension, ctachycardia, ctachypnea,
chypothermia, cdecrease cpulse cpressure
During ccompensatory cstage cof cshock, cwhy cwould cyou chear chypoactive cbowl csounds cand ccool cand
cclammy cskin c- cAnswerBody cshunting cblood cfrom cskin, ckidneys cand cGI cto cprovide cadequate cblood
cvolume cto cthe cbrain cand cheart
Why cwould curine coutput cdecrease cduring ccompensatory cstage cof cshock c- cAnswerHigh cproduction
cof caldosterone
