NURS6202 Final Exam Advanced Pathophysiology
Questions and Answers
A patient with orthopedic trauma complains of severe unrelenting pain in the
affected extremity not relieved by analgesics. What is the nurse most concerned
about?
Compartment syndrome
Why is an ORIF done instead of letting a hip heal over time?
Prevent complications and early ambulation
Hypovolemia in burns is caused by
Capillary bed leakage
A patient weighing 68 kg has a 50% TBSA burn. Using the Parkland (Baxter)
formula for fluid replacement how many cc/hr should the nurse administer in
the first 8 hours? [TBSA burned x Wt (kg) x 4mL] ___________
The Parkland Formula is for the first 24 hours. To determine the 8-hour, you need
to divide the results by 2.
,68 x 50 x 4 = 13,600 in 24 hours, 6,800 in first 8 hours, and 6,800 in the next 16
hours. That works out to 850 cc/hr for the first 8 hours.
T/F
Nurses should discourage use of any alternative or complementary therapy.
False (allow holistic care)
The cause of organ failure and cellular dysfunction in shock is:
Inadequate cellular perfusion
Would you use vasopressor (dopamine) in cardiogenic shock?
Yes. Vasoconstriction to increase BP
Would you use inotropic agent (dobutamine) in cardiogenic shock?
Yes. Increase force of myocardial contraction to increase CO
Would you use IV rate of 500 cc/hr decreased ability to pump blood in
cardiogenic shock?
No. There is a decreased ability to pump blood
, A pt arrives in the ED after an accident. What is the first thing you assess?
Airway
What is MODS?
Multiple organ dysfunction syndrome (failure of 2 or more organ systems)
Does anaphylactic shock cause symptoms due to increased peripheral resistance?
No. Massive vasodilation, release of mediators, increased capillary permeability
Why is PEEP used in a patient with ARDS?
To prevent alveolar collapse by keeping lungs expanded during expiration
The most common cause of death in patients recovering from acute renal failure
is?
Infection
Questions and Answers
A patient with orthopedic trauma complains of severe unrelenting pain in the
affected extremity not relieved by analgesics. What is the nurse most concerned
about?
Compartment syndrome
Why is an ORIF done instead of letting a hip heal over time?
Prevent complications and early ambulation
Hypovolemia in burns is caused by
Capillary bed leakage
A patient weighing 68 kg has a 50% TBSA burn. Using the Parkland (Baxter)
formula for fluid replacement how many cc/hr should the nurse administer in
the first 8 hours? [TBSA burned x Wt (kg) x 4mL] ___________
The Parkland Formula is for the first 24 hours. To determine the 8-hour, you need
to divide the results by 2.
,68 x 50 x 4 = 13,600 in 24 hours, 6,800 in first 8 hours, and 6,800 in the next 16
hours. That works out to 850 cc/hr for the first 8 hours.
T/F
Nurses should discourage use of any alternative or complementary therapy.
False (allow holistic care)
The cause of organ failure and cellular dysfunction in shock is:
Inadequate cellular perfusion
Would you use vasopressor (dopamine) in cardiogenic shock?
Yes. Vasoconstriction to increase BP
Would you use inotropic agent (dobutamine) in cardiogenic shock?
Yes. Increase force of myocardial contraction to increase CO
Would you use IV rate of 500 cc/hr decreased ability to pump blood in
cardiogenic shock?
No. There is a decreased ability to pump blood
, A pt arrives in the ED after an accident. What is the first thing you assess?
Airway
What is MODS?
Multiple organ dysfunction syndrome (failure of 2 or more organ systems)
Does anaphylactic shock cause symptoms due to increased peripheral resistance?
No. Massive vasodilation, release of mediators, increased capillary permeability
Why is PEEP used in a patient with ARDS?
To prevent alveolar collapse by keeping lungs expanded during expiration
The most common cause of death in patients recovering from acute renal failure
is?
Infection
