NUR 258 EXAM 3 QUESTIONS WITH COMPLETE
SOLUTIONS
3 categories of Triage Correct Answer -emergent
-urgent
-nonurgent
4 states in the lung Correct Answer normal
shunt (no V)
dead space (no Q)
silent unit
5 level rating system of ER care Correct Answer -
comprehensive, reliable + valid
-accounts for variety of patients
-emergency severity index (ESI)
-canadian triage + acuity scale (CTAS)
-triage bypass system
-team triage (PIR)
A of ER nursing Correct Answer Airway
ABCDE method of ER Correct Answer A-airway
B-breathing
C-circulation
D-disability
E-exposure
ABG (arterial blood gas) Correct Answer pH = 7.35-7.45
PaO2 = 80-100
PaCO2 = 35-45
,HCO3 = 22-26
SaO2 = 95-100%
abnormalities in chest configuration Correct Answer -barrel
chest
-funnel chest
-pigeon chest
-kyphoscoliosis
acid base balance Correct Answer CO2 is a major determinant
acidosis Correct Answer pH below 7.35
causes:
-diarrhea
acute alcohol intoxication Correct Answer life-threatening
blood alcohol concentration which can produce a collapse of
vital body functions
acute toxic state Correct Answer most severe form of alcohol
withdrawal syndrome , life threatening , high mortality rate
airway damage Correct Answer bronchitis
airway obstruction Correct Answer life threatening
partially or completely occluded
alcohol Correct Answer psychotropic drug
CNS depressant
,alcohol withdrawal syndrome symptoms Correct Answer
depend on how much alcohol is consumed and for how long
-anxiety
-uncontrolled fear
-agitation
-insomnia
-diaphoresis
-dilated pupils
-tachycardia
-dilated pupils
alkalosis Correct Answer pH above 7.45
causes:
-vomitting
alveoli Correct Answer 300 million
made of 3 types of cells:
type 1 - barrier between air + alveolar surface
type 2 - produce type 1 cells + surfactant (prevents collapse)
type 3 - alveolar macrophages
alveoli damage Correct Answer emphysema
anhidrosis Correct Answer absence of sweating
, another name for acute tubular necrosis (ATN) Correct Answer
rhabdomyolysis
anoxia Correct Answer lack of oxygen
antivenin Correct Answer A serum that counteracts the effect
of venom from an animal or insect.
apnea Correct Answer temporary pauses in breathing
assessing allergies Correct Answer -known allergies
-medications
-OTC + herbal s
Assessing compartment syndrome Correct Answer 6 ps
-parathesia
-pain
-pallor
-pulselessness
-poikilothermia
-paralysis
assessing psychosocial factors Correct Answer -strategies for
coping
-effect on patients QOL
-goals
-role in family + family relationships
-exhibit symptoms of depression or anxiety
-available support systems
-available resources
SOLUTIONS
3 categories of Triage Correct Answer -emergent
-urgent
-nonurgent
4 states in the lung Correct Answer normal
shunt (no V)
dead space (no Q)
silent unit
5 level rating system of ER care Correct Answer -
comprehensive, reliable + valid
-accounts for variety of patients
-emergency severity index (ESI)
-canadian triage + acuity scale (CTAS)
-triage bypass system
-team triage (PIR)
A of ER nursing Correct Answer Airway
ABCDE method of ER Correct Answer A-airway
B-breathing
C-circulation
D-disability
E-exposure
ABG (arterial blood gas) Correct Answer pH = 7.35-7.45
PaO2 = 80-100
PaCO2 = 35-45
,HCO3 = 22-26
SaO2 = 95-100%
abnormalities in chest configuration Correct Answer -barrel
chest
-funnel chest
-pigeon chest
-kyphoscoliosis
acid base balance Correct Answer CO2 is a major determinant
acidosis Correct Answer pH below 7.35
causes:
-diarrhea
acute alcohol intoxication Correct Answer life-threatening
blood alcohol concentration which can produce a collapse of
vital body functions
acute toxic state Correct Answer most severe form of alcohol
withdrawal syndrome , life threatening , high mortality rate
airway damage Correct Answer bronchitis
airway obstruction Correct Answer life threatening
partially or completely occluded
alcohol Correct Answer psychotropic drug
CNS depressant
,alcohol withdrawal syndrome symptoms Correct Answer
depend on how much alcohol is consumed and for how long
-anxiety
-uncontrolled fear
-agitation
-insomnia
-diaphoresis
-dilated pupils
-tachycardia
-dilated pupils
alkalosis Correct Answer pH above 7.45
causes:
-vomitting
alveoli Correct Answer 300 million
made of 3 types of cells:
type 1 - barrier between air + alveolar surface
type 2 - produce type 1 cells + surfactant (prevents collapse)
type 3 - alveolar macrophages
alveoli damage Correct Answer emphysema
anhidrosis Correct Answer absence of sweating
, another name for acute tubular necrosis (ATN) Correct Answer
rhabdomyolysis
anoxia Correct Answer lack of oxygen
antivenin Correct Answer A serum that counteracts the effect
of venom from an animal or insect.
apnea Correct Answer temporary pauses in breathing
assessing allergies Correct Answer -known allergies
-medications
-OTC + herbal s
Assessing compartment syndrome Correct Answer 6 ps
-parathesia
-pain
-pallor
-pulselessness
-poikilothermia
-paralysis
assessing psychosocial factors Correct Answer -strategies for
coping
-effect on patients QOL
-goals
-role in family + family relationships
-exhibit symptoms of depression or anxiety
-available support systems
-available resources
