HESI: med surg III questions and answers well illustrated.

HESI: med surg III questions and answers well illustrated. Burns - correct answers.Tissue injury or necrosis caused by transfer of energy from a heat source to the body Categories of Burns - correct answers.Thermal radiation electrical chemical Tissue destruction results from - correct answers.Coagulation protein denaturation ionization of cellular contents Critical systems affected include - correct answers.Respiratory integumentary cardiovascular renal G.I. neurologic Severity is determined by - correct answers.Burn depth 1st° burn - correct answers.Superficial partial thickness, injury to the epidermis, leaves skin pink or red but no blisters, dry, painful, slight edema, no scarring or skin graft required 2nd° burn - correct answers.Deep partial thickness destruction of epidermis and upper layers of dermis, injury to deeper portions of the dermis, painful, appears red or white, weeps fluid, blisters present, hair follicles intact, very edematous, blanching followed by capillary refill, heals without surgical intervention 3rd° burn - correct answers.Full thickness and deep full thickness involves total destruction of dermis and epidermis, skin cannot regenerate, require skin grafting, underlying tissue may be involved, wound appears dry and leathery as eschar develops, painless Severity is determined by: - correct answers.Rule of nines, Lund and browder method Rules of Nines: head/neck - correct answers.9% Rule of Nines: upper extremities - correct answers.9% each 4.5% anterior&posterior Rule of Nines: lower extremities - correct answers.18% each 9% anterior/posterior Rule of Nines: Front trunk - correct answers.18% Rule of Nines: back trunk - correct answers.18% Rule of Nines: perineal area - correct answers.1% for adults Three stages of burn care - correct answers.Resuscitative/emergent acute rehabilitation Resuscitative/emergent stage: 48-72 hrs - correct answers.Begins at time of injury and concludes with the restoration of capillary permeability. Characterized by fluid shift from intravascular to interstitial and Candid Expect to administer large volumes of fluid. Fluid replacement formulas calculated from time of injury. Acute phase: 48-72 hrs after injury - correct answers.Occurs from beginning of diuresis to near completion of wound closure. Characterized by fluid shift from interstitial to intravascular. Focus on infection control wound care & closure, pain management, nutritional support, physical therapy Rehabilitation phase - correct answers.Occurs from Major wound closure to return to optimal level of physical and psychosocial adjustment. Characterized by grafting and rehabilitation specific to the client. Absence of bowel sounds indicate - correct answers.Paralytic ileus Urine output in first 72 hours after injury - correct answers.Radically decreased with increased specific gravity Urine output 72 hours to two weeks after injury - correct answers.Radically increased Signs of inhalation burn - correct answers.Red or burned face, cinched facial and nasal hairs, conjunctivitis, sooty nasal mucosal or bloody sputum, hoarseness, rails or wheezing denoting smoke inhalation Nursing plans for emergent phase - correct sion care, monitor hydration status, monitor respiratory functioning, asses for paralytic ileus, wound care, pain management, asses for circulatory compromise, proper nutrition. Nursing plans for acute phase - correct answers.Provide infection control, no live plants or flowers in room, perform ROM, prevent contractures, provide fluid therapy, provide adequate nutrition ( up to 5000 calories per day) Pain management - correct answers.Provide pain medication before dressing change Dietary interventions with burn clients - correct answers.High calorie, high protein, high carb, no free water, tube feeding at night, weigh daily Hyperthyroidism - correct answers.Excessive activity of thyroid gland. graves disease or goiter. Treatment for hyperthyroidism - correct answers.Thyroid ablation by medication, radiation, thyroidectomy, adenectomy of portion of anterior pituitary where TSH producing tumor is located = hormone replacement Signs and symptoms for hyperthyroidism - correct answers.Weight-loss increased appetite diarrhea heat intolerance tachycardia diaphoresis nervousness Exophthalmos T3 elevated above 220 T4 elevated above 12 Thyroid storm - correct answers.Life threatening symptoms include fever, tachycardia, agitation, anxiety and hypertension. Maintain an airway. Drugs for thyroid storm - correct answers.PTU (propylthiouracil) Tapazole (methimazole) Diet for hyperthyroidism - correct answers.High calorie High protein low caffeine Low Fiber Treatment of hyperthyroidism - correct answers.Thyroid ablation, radiation, thyroidectomy, adenectomy Normal calcium level - correct answers.9.0-10.5 Tests for hypocalcemia - correct answers.Trousseau sign Chvostek sign Hypothyroidism - correct answers.Hashimoto, myxedema. Hypofunction of the thyroid gland resulting in insufficiency of thyroid hormone Signs & symptoms of hypothyroidism - correct answers.Thin, dry hair