Nur 445 exam 4 burns, environmental injuries, trauma, disaster
management UPDATED ACTUAL Questions and CORRECT Answers
Approximately 70% of people who survive respiratory failure.
drowning will develop
The initial priorities in a drowning victim are Oxygenation, Ventilation, Perfusion
to restore:
Meds & defibrillation are not likely to be lower than 86°F (30°C).
successful if the patient's core temperature
is
Intensive care management for a drowning Treating hypoxia, Maintaining cardiovascular stability, Preventing or managing
victim is directed at: infection
Blood gases indicate respiratory and clear CO2 and inadequate oxygenation
metabolic acidosis due to the inability to
Appropriate interventions to implement for Administer oxygen via 100% nonrebreather mask or high flow nasal cannula, Prepare
a drowning victim include: for intubation, Continuous cardiac monitoring
The best treatment of drowning is prevention of drowning
As a result of hypoxia, acidosis, and Bradycardia, Hypotension
hypothermia, the nurse should anticipate
which vital sign abnormalities?
Slow, active rewarming should be instituted soon as possible to facilitate resuscitation priorities
as
Appropriate interventions to implement for Insert an IV and administer warmed fluids, Anticipate cardiopulmonary resuscitation
a drowning victim include:
Tetanus prophylaxis is recommended for become infected with tetanus spores
spider bites because spider bites can
, Brown recluse venom is hemotoxic and tissue necrosis. Black widow venom is neurotoxic and causes diffuse pain
results in
Black widow venom is neurotoxic, resulting Myalgias, Muscle spasms, Severe abdominal pain, Muscle rigidity, Arthralgias,
in a massive presynaptic release of Hypertension, Vomiting, Hyperreflexia
neurotransmitters. Symptoms include:
Treatment for a black widow spider bite Opioids, Calcium gluconate 10%, Muscle relaxants
may include:
Treatment for a brown recluse spider bite Oral corticosteroids, Hyperbaric oxygenation, Colchicine, Dapsone
may include:
A rare condition, systemic loxoscelism, can Hemolytic anemia, Acute renal failure, Thrombocytopenia, DIC
develop after a brown recluse bite. Signs
and symptoms include:
Brown recluse and black widow bites have cause death, though rarely and more commonly in the young & old
been known to
Appropriate interventions to implement for Thoroughly cleanse the wound, Elevate the affected extremity above the level of the
a patient who has sustained a venomous heart, Administer tetanus vaccine, Apply a cold compress, Administer pain
spider bite include: medication, Administer antibiotics
Venom from all snake species primarily hemotoxic effects.
causes
necrosis at the site of envenomation, resulting in increased capillary permeability.
Rattlesnake bites can lead to
Local effects include - Local swelling, Ecchymosis, Necrosis
What is the purpose of administering IV To maintain intravascular volume and prevent hypotension
fluids to a snakebite patient?
What systemic effects can occur from Rhabdomyolysis, Triggering of the coagulation cascade, Compartment syndrome
venom circulating through the vascular
system?
What assessment findings may indicate the Positive myoglobin in the urinalysis, A petechial rash
patient is experiencing complications
related to a rattlesnake bite?
Which of the following are appropriate Keep the patient calm, Administer antivenom, Immobilize the affected extremity
interventions to implement following a below the level of the heart, Obtain a coagulation panel
snake bite?
Which of the following are appropriate Continuous cardiac monitoring, Remove tight clothing and jewelry, Establish an IV
nursing interventions for a patient who and administer fluids
sustained a snakebite?
Return to the ED if you develop swelling, redness, or increased pain. Avoid handling
What should be included in the discharge
snakes, including dead ones, Return to the ED if you develop epistaxis, vomiting,
instructions for a snakebite patient?
diaphoresis, or SOB.
Triage is the sorting of patients based on their need for treatment & the resources available to provide that treatment
Trauma assessments are broken down into Evaluate neurological status, Evaluate ventilation, Evaluate perfusion and bleeding,
primary & secondary surveys. As part of the Assess patency of the airway
primary survey, the RN should:
Opening the airway, Providing oxygen, Chest tube insertion, Preparing for an
Priority interventions that are completed
advanced airway, Applying direct pressure to sites that are actively bleeding,
during the primary survey include:
Establishing IV access, Fluid resuscitation, Cutting off the patient's clothing
management UPDATED ACTUAL Questions and CORRECT Answers
Approximately 70% of people who survive respiratory failure.
drowning will develop
The initial priorities in a drowning victim are Oxygenation, Ventilation, Perfusion
to restore:
Meds & defibrillation are not likely to be lower than 86°F (30°C).
successful if the patient's core temperature
is
Intensive care management for a drowning Treating hypoxia, Maintaining cardiovascular stability, Preventing or managing
victim is directed at: infection
Blood gases indicate respiratory and clear CO2 and inadequate oxygenation
metabolic acidosis due to the inability to
Appropriate interventions to implement for Administer oxygen via 100% nonrebreather mask or high flow nasal cannula, Prepare
a drowning victim include: for intubation, Continuous cardiac monitoring
The best treatment of drowning is prevention of drowning
As a result of hypoxia, acidosis, and Bradycardia, Hypotension
hypothermia, the nurse should anticipate
which vital sign abnormalities?
Slow, active rewarming should be instituted soon as possible to facilitate resuscitation priorities
as
Appropriate interventions to implement for Insert an IV and administer warmed fluids, Anticipate cardiopulmonary resuscitation
a drowning victim include:
Tetanus prophylaxis is recommended for become infected with tetanus spores
spider bites because spider bites can
, Brown recluse venom is hemotoxic and tissue necrosis. Black widow venom is neurotoxic and causes diffuse pain
results in
Black widow venom is neurotoxic, resulting Myalgias, Muscle spasms, Severe abdominal pain, Muscle rigidity, Arthralgias,
in a massive presynaptic release of Hypertension, Vomiting, Hyperreflexia
neurotransmitters. Symptoms include:
Treatment for a black widow spider bite Opioids, Calcium gluconate 10%, Muscle relaxants
may include:
Treatment for a brown recluse spider bite Oral corticosteroids, Hyperbaric oxygenation, Colchicine, Dapsone
may include:
A rare condition, systemic loxoscelism, can Hemolytic anemia, Acute renal failure, Thrombocytopenia, DIC
develop after a brown recluse bite. Signs
and symptoms include:
Brown recluse and black widow bites have cause death, though rarely and more commonly in the young & old
been known to
Appropriate interventions to implement for Thoroughly cleanse the wound, Elevate the affected extremity above the level of the
a patient who has sustained a venomous heart, Administer tetanus vaccine, Apply a cold compress, Administer pain
spider bite include: medication, Administer antibiotics
Venom from all snake species primarily hemotoxic effects.
causes
necrosis at the site of envenomation, resulting in increased capillary permeability.
Rattlesnake bites can lead to
Local effects include - Local swelling, Ecchymosis, Necrosis
What is the purpose of administering IV To maintain intravascular volume and prevent hypotension
fluids to a snakebite patient?
What systemic effects can occur from Rhabdomyolysis, Triggering of the coagulation cascade, Compartment syndrome
venom circulating through the vascular
system?
What assessment findings may indicate the Positive myoglobin in the urinalysis, A petechial rash
patient is experiencing complications
related to a rattlesnake bite?
Which of the following are appropriate Keep the patient calm, Administer antivenom, Immobilize the affected extremity
interventions to implement following a below the level of the heart, Obtain a coagulation panel
snake bite?
Which of the following are appropriate Continuous cardiac monitoring, Remove tight clothing and jewelry, Establish an IV
nursing interventions for a patient who and administer fluids
sustained a snakebite?
Return to the ED if you develop swelling, redness, or increased pain. Avoid handling
What should be included in the discharge
snakes, including dead ones, Return to the ED if you develop epistaxis, vomiting,
instructions for a snakebite patient?
diaphoresis, or SOB.
Triage is the sorting of patients based on their need for treatment & the resources available to provide that treatment
Trauma assessments are broken down into Evaluate neurological status, Evaluate ventilation, Evaluate perfusion and bleeding,
primary & secondary surveys. As part of the Assess patency of the airway
primary survey, the RN should:
Opening the airway, Providing oxygen, Chest tube insertion, Preparing for an
Priority interventions that are completed
advanced airway, Applying direct pressure to sites that are actively bleeding,
during the primary survey include:
Establishing IV access, Fluid resuscitation, Cutting off the patient's clothing
