NUR 265 Exam 3 |A Series Of Questions And Answers
Update | 100% Correct.
What causes Autonomic Dysreflexia - ANSWER: Stimulation at level of T6 or
above
What are some examples of triggers of autonomic dysreflexia - ANSWER:
restrictive clothing; full bladder/neurogenic bladder; fecal impaction; directive
pressure s/a sitting in the wheel chair
signs and systems of Autonomic Dysreflexia - ANSWER: hypertension, 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 - ANSWER: maintain
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 - ANSWER:
Lactated ringers
Chemical burns should be irrigated until - ANSWER: 20 minutes or the burn
sensation continues after the 20 minute marker
what would you use to remove hot tar or asphalt - ANSWER: citrus 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 - ANSWER: cortical and premotor cortex damage
,what kind of brain injury would you expect if an adult client is positive for plantar
infant reflexes - ANSWER: upper motor neuron lesion
what kind of brain injury would you expect if an adult client is positive for rooting
infant reflex - ANSWER: frontal lobe damage
what kind of brain injury would you expect if an adult client is positive for sucking
infant reflex - ANSWER: Advance dementia; cortical brain damage
what kind of brain injury would you expect if an adult client is positive for glabella
(persistent blinking) infant reflex - ANSWER: diffuse cortical dysfunction
What is the consensus formula for burns - ANSWER: 2-4 ml X TBSA X KG
What S&S are expected for a burn client who is receiving the first 8 hours of fluid
resuscitation - ANSWER: Restlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first 8 hours - ANSWER: 1/2
of the fluid consensus
What do you need to monitor when resuscitating fluids for burn pt to make sure that it
is working - ANSWER: Urine output
Besides a hyperbaric chamber how would you admin o2 to a client with CO
poisoning - ANSWER: 100% O2 with a non-rebreather
How would you treat a circumferential trunk burn that is swelling and why? -
ANSWER: Eschartomies R/T constriction of the chest wall expansion
what are the classification of shock - ANSWER: Cardiogenic; hypovolemic,
neurogenic, and Disruptive
, All shock is caused by - ANSWER: inadequate tissue perfusion
Patho of hypovolemic shock - ANSWER: Inadequate circulating blood volume S/A
burns, hemorrhage, dehydration
Patho for cardiogenic shock - ANSWER: Inadequate pumping action of the heart
S/A MI, CHF, PE
What are the 3 subclasses of Distributive shock - ANSWER: Anaphylactic; Septic;
Neurogenic
Patho for neurogenic shock - ANSWER: interference of the nervous system that
controls the blood vessels
Patho for septic shock - ANSWER: Release of vasoactive substance from the
immune system
How much blood loss is required for the patient to be at high risk for hypovolemic
shock - ANSWER: 15-25%, or 1/3 of the body blood, or 5L
clients who experience slow blood loss can - ANSWER: Tolerate the blood loss
better then a client with rapid blood loss
Signs and symptoms of compensatory shock - ANSWER: hypotension,
tachycardia, tachypnea, hypothermia, decrease pulse pressure
During compensatory stage of shock, why would you hear hypoactive bowl sounds
and cool and clammy skin - ANSWER: Body shunting blood from skin, kidneys
and GI to provide adequate blood volume to the brain and heart
Update | 100% Correct.
What causes Autonomic Dysreflexia - ANSWER: Stimulation at level of T6 or
above
What are some examples of triggers of autonomic dysreflexia - ANSWER:
restrictive clothing; full bladder/neurogenic bladder; fecal impaction; directive
pressure s/a sitting in the wheel chair
signs and systems of Autonomic Dysreflexia - ANSWER: hypertension, 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 - ANSWER: maintain
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 - ANSWER:
Lactated ringers
Chemical burns should be irrigated until - ANSWER: 20 minutes or the burn
sensation continues after the 20 minute marker
what would you use to remove hot tar or asphalt - ANSWER: citrus 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 - ANSWER: cortical and premotor cortex damage
,what kind of brain injury would you expect if an adult client is positive for plantar
infant reflexes - ANSWER: upper motor neuron lesion
what kind of brain injury would you expect if an adult client is positive for rooting
infant reflex - ANSWER: frontal lobe damage
what kind of brain injury would you expect if an adult client is positive for sucking
infant reflex - ANSWER: Advance dementia; cortical brain damage
what kind of brain injury would you expect if an adult client is positive for glabella
(persistent blinking) infant reflex - ANSWER: diffuse cortical dysfunction
What is the consensus formula for burns - ANSWER: 2-4 ml X TBSA X KG
What S&S are expected for a burn client who is receiving the first 8 hours of fluid
resuscitation - ANSWER: Restlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first 8 hours - ANSWER: 1/2
of the fluid consensus
What do you need to monitor when resuscitating fluids for burn pt to make sure that it
is working - ANSWER: Urine output
Besides a hyperbaric chamber how would you admin o2 to a client with CO
poisoning - ANSWER: 100% O2 with a non-rebreather
How would you treat a circumferential trunk burn that is swelling and why? -
ANSWER: Eschartomies R/T constriction of the chest wall expansion
what are the classification of shock - ANSWER: Cardiogenic; hypovolemic,
neurogenic, and Disruptive
, All shock is caused by - ANSWER: inadequate tissue perfusion
Patho of hypovolemic shock - ANSWER: Inadequate circulating blood volume S/A
burns, hemorrhage, dehydration
Patho for cardiogenic shock - ANSWER: Inadequate pumping action of the heart
S/A MI, CHF, PE
What are the 3 subclasses of Distributive shock - ANSWER: Anaphylactic; Septic;
Neurogenic
Patho for neurogenic shock - ANSWER: interference of the nervous system that
controls the blood vessels
Patho for septic shock - ANSWER: Release of vasoactive substance from the
immune system
How much blood loss is required for the patient to be at high risk for hypovolemic
shock - ANSWER: 15-25%, or 1/3 of the body blood, or 5L
clients who experience slow blood loss can - ANSWER: Tolerate the blood loss
better then a client with rapid blood loss
Signs and symptoms of compensatory shock - ANSWER: hypotension,
tachycardia, tachypnea, hypothermia, decrease pulse pressure
During compensatory stage of shock, why would you hear hypoactive bowl sounds
and cool and clammy skin - ANSWER: Body shunting blood from skin, kidneys
and GI to provide adequate blood volume to the brain and heart
