NURS 213 PROCTORED EXAM 3 2024
x x x x x x
x
If xa xpt. xsustains xand xelectrical xburn xwhat xis xthe xfirst xthing xyou xshould xdo? x- xRemove
xpt xfrom x
x
source.
x
What xis xanthrax, xplague xand xtularemia xtreated xwith? x- xAntibiotics x
x
How xis xbotulism xtreated? x- xAntitoxin x
x
What xis xsarin? x- x(powder) xtoxic xnerve xgas xthat xcan xcause xdeath xw/n xminutes xof
xexposure, x
x
enters xbody xthrough xeyes x& xskin, xacts xby xparalyzing xresp.
xmuscles
x
What xare xantidotes xfor xnerves xagents? x- xAtropine, xpralidoxime xchloride x
x
What xis xphosgene? x- xColorless xgas, xif xinhaled x@ xhigh xconcentration xfor xlong xenough
xperiod, x
x
causes xsevere xresp. xdistress, xpulmonary xedema, xand
xdeath
x
What xis xmustard xgas? x- xYellow xto xbrown xin xcolor xwith xgarlic-like xodor, xirritates xeyes x&
xcauses x
x
skin
xburns/blisters
x
What xare xradiological xdispersal xdevices? x- x'Dirty xbombs', xexplosives x& xradioactive
xmaterial. x
x
What xis xthe xRED xtag xcriteria? x- xCritically xinjured, xwith xproblems xrequiring ximmediate
xintervention x(EMERGENT), xRR x>30, xor xRR<30 x& xcap xrefill x>2 xseconds xor xif xcap xrefill
x<2 xseconds x- xassess xmental xstatus x(CANNOT xfollow xsimple xcommands) x
x
What xis xthe xcriteria xfor xthe xyellow xtag? x- xUrgent; xinjured x& xwill xrequire xmedical
xattention xbt x
x
will xnot xdie xif xcare xis xdelayed, xnot xambulatory, xneeds xstretcher xfor xtransport, xCAN
xfollow
x
simple
xcommands
x
What xis xthe xcriteria xfor xgreen xtag? x- xAmbulatory, xnot xcritically xinjured, xwalkie xtalkie,
xhave x
x
them xwalk xto xsafe
xplace
x
What xis xcriteria xfor xblack xtag? x- xExpectant/dead, xdeceased xor xnot xexpected xto xlive, xif
xpt xnot x
x
breathing, xopen xairway xmanually, xif xpt xcont. xto xbe xapneic x= xTAG
xBLACK
x
, What xshould xyou xtag xa xpt, xif xthey xare xapneic xon xarrival xbut xafter xmanually xopening
xairway xthe x
x
pt xbegins xto xbreathe? x-
xRED
x
Rule xof xNines- xwhat xis xthe x% xfor xtorso x& xback? x- x18% xeach x
x
Rule xof xNines x- xwhat xis xthe x% xfor xarms x& xhead? x- x4.5% xeach x
x
Rule xof xNines- xWhat xis xthe x% xfor xthe xlegs? x- x9% xeach x
x
If xa xpt xsustains xa xchemical xburn xwhat xis xthe xfirst xthing xyou xshould xdo? x- xBrush xsolid
xparticles x
x
off xthe xskin x& xuse xwater
xlavage
x
If xa xpt xsustains xa xsmall xthermal xburn xwhat xis xthe xfirst xthing xyou xshould xdo? x- xCover xw/
xclean, x
x
cool, xtap xwater- xdampened
xtowel
x
If xa xpt xsustains xa xlarge xthermal xburn xwhat xis xthe xfirst xthing xyou xshould xdo? x- xAssess
xABCs, xDO xNOT ximmerse xin xcool xwater xor xpack xw/ xice, xremove xburned xclothing, xwrap
xin xclean, xdry xsheet xor xblanket. x
x
If xa xpt xsustains xa xinhalation xinjury xwhat xis xthe xfirst xthing xyou xshould xdo? x- xObserve xfor
xs/s xof x
x
resp. xdistress xor
xcompromise.
x
Burn xcomplications x- xhypovolemia, xinfection, xcompartment xsyndrome, xedema,
xAMS, x
x
Adynamic xileus, xblisters, xdysrhythmias, xtissue xischemia, xnecrosis, xsludging,
xairway
x
obstruction, xrenal xischemia, xacute xtubular
xnecrosis
x
What xis xthe xParkland xBaxter xformula? x- x4ml x* xTBSA% x* xwt. xin xkg x
x
ARDS xetiology x- xDevelops xfrom xa xvariety xof xdirect xor xindirect xlung xinjuries. xCauses xlow
xblood xoxygen; xfluids xbuilds xup xinside xthe xtiny xair xsacs xof xthe xlungs x& xsurfactant xbreaks
xdown. xMost xcommon xcause xis xsepsis. x1st xsymptoms xis xusually xS.0.B.; xmain xtx:
xsupplemental xO2 x
x
S/S xof xlow xO2 xlevels xin xa xARDS xpt x- xDyspnea, xtachypnea, xrestlessness, xdiaphoresis,
xcyanosis, xpallor, xhypoxemia xdespite xincreased xFIO2, xblue xfinger xtips xor xtone xof xskin;
xchest xauscultation xmay xreveal xnormal xof xfine xscattered xcrackles; xincreased xwork xof
xbreathing; x"white xout" xchest xx-ray x
x
Interventions xfor xARDS x- xO2 xadministration x(BiPAP, xCPAP, xmech. xvent), xproning,
xmaintenance xof xnutrition/fluid xintake, xacid-reducing xmeds, xblood xtransfusion x(low xHGB),
xECMO, xABX, xblood xthinners, xmuscle xrelaxants, xpain xmeds, xsedatives, x& xPT x(prevent
xcontractures/ulcers) x
x
x x x x x x
x
If xa xpt. xsustains xand xelectrical xburn xwhat xis xthe xfirst xthing xyou xshould xdo? x- xRemove
xpt xfrom x
x
source.
x
What xis xanthrax, xplague xand xtularemia xtreated xwith? x- xAntibiotics x
x
How xis xbotulism xtreated? x- xAntitoxin x
x
What xis xsarin? x- x(powder) xtoxic xnerve xgas xthat xcan xcause xdeath xw/n xminutes xof
xexposure, x
x
enters xbody xthrough xeyes x& xskin, xacts xby xparalyzing xresp.
xmuscles
x
What xare xantidotes xfor xnerves xagents? x- xAtropine, xpralidoxime xchloride x
x
What xis xphosgene? x- xColorless xgas, xif xinhaled x@ xhigh xconcentration xfor xlong xenough
xperiod, x
x
causes xsevere xresp. xdistress, xpulmonary xedema, xand
xdeath
x
What xis xmustard xgas? x- xYellow xto xbrown xin xcolor xwith xgarlic-like xodor, xirritates xeyes x&
xcauses x
x
skin
xburns/blisters
x
What xare xradiological xdispersal xdevices? x- x'Dirty xbombs', xexplosives x& xradioactive
xmaterial. x
x
What xis xthe xRED xtag xcriteria? x- xCritically xinjured, xwith xproblems xrequiring ximmediate
xintervention x(EMERGENT), xRR x>30, xor xRR<30 x& xcap xrefill x>2 xseconds xor xif xcap xrefill
x<2 xseconds x- xassess xmental xstatus x(CANNOT xfollow xsimple xcommands) x
x
What xis xthe xcriteria xfor xthe xyellow xtag? x- xUrgent; xinjured x& xwill xrequire xmedical
xattention xbt x
x
will xnot xdie xif xcare xis xdelayed, xnot xambulatory, xneeds xstretcher xfor xtransport, xCAN
xfollow
x
simple
xcommands
x
What xis xthe xcriteria xfor xgreen xtag? x- xAmbulatory, xnot xcritically xinjured, xwalkie xtalkie,
xhave x
x
them xwalk xto xsafe
xplace
x
What xis xcriteria xfor xblack xtag? x- xExpectant/dead, xdeceased xor xnot xexpected xto xlive, xif
xpt xnot x
x
breathing, xopen xairway xmanually, xif xpt xcont. xto xbe xapneic x= xTAG
xBLACK
x
, What xshould xyou xtag xa xpt, xif xthey xare xapneic xon xarrival xbut xafter xmanually xopening
xairway xthe x
x
pt xbegins xto xbreathe? x-
xRED
x
Rule xof xNines- xwhat xis xthe x% xfor xtorso x& xback? x- x18% xeach x
x
Rule xof xNines x- xwhat xis xthe x% xfor xarms x& xhead? x- x4.5% xeach x
x
Rule xof xNines- xWhat xis xthe x% xfor xthe xlegs? x- x9% xeach x
x
If xa xpt xsustains xa xchemical xburn xwhat xis xthe xfirst xthing xyou xshould xdo? x- xBrush xsolid
xparticles x
x
off xthe xskin x& xuse xwater
xlavage
x
If xa xpt xsustains xa xsmall xthermal xburn xwhat xis xthe xfirst xthing xyou xshould xdo? x- xCover xw/
xclean, x
x
cool, xtap xwater- xdampened
xtowel
x
If xa xpt xsustains xa xlarge xthermal xburn xwhat xis xthe xfirst xthing xyou xshould xdo? x- xAssess
xABCs, xDO xNOT ximmerse xin xcool xwater xor xpack xw/ xice, xremove xburned xclothing, xwrap
xin xclean, xdry xsheet xor xblanket. x
x
If xa xpt xsustains xa xinhalation xinjury xwhat xis xthe xfirst xthing xyou xshould xdo? x- xObserve xfor
xs/s xof x
x
resp. xdistress xor
xcompromise.
x
Burn xcomplications x- xhypovolemia, xinfection, xcompartment xsyndrome, xedema,
xAMS, x
x
Adynamic xileus, xblisters, xdysrhythmias, xtissue xischemia, xnecrosis, xsludging,
xairway
x
obstruction, xrenal xischemia, xacute xtubular
xnecrosis
x
What xis xthe xParkland xBaxter xformula? x- x4ml x* xTBSA% x* xwt. xin xkg x
x
ARDS xetiology x- xDevelops xfrom xa xvariety xof xdirect xor xindirect xlung xinjuries. xCauses xlow
xblood xoxygen; xfluids xbuilds xup xinside xthe xtiny xair xsacs xof xthe xlungs x& xsurfactant xbreaks
xdown. xMost xcommon xcause xis xsepsis. x1st xsymptoms xis xusually xS.0.B.; xmain xtx:
xsupplemental xO2 x
x
S/S xof xlow xO2 xlevels xin xa xARDS xpt x- xDyspnea, xtachypnea, xrestlessness, xdiaphoresis,
xcyanosis, xpallor, xhypoxemia xdespite xincreased xFIO2, xblue xfinger xtips xor xtone xof xskin;
xchest xauscultation xmay xreveal xnormal xof xfine xscattered xcrackles; xincreased xwork xof
xbreathing; x"white xout" xchest xx-ray x
x
Interventions xfor xARDS x- xO2 xadministration x(BiPAP, xCPAP, xmech. xvent), xproning,
xmaintenance xof xnutrition/fluid xintake, xacid-reducing xmeds, xblood xtransfusion x(low xHGB),
xECMO, xABX, xblood xthinners, xmuscle xrelaxants, xpain xmeds, xsedatives, x& xPT x(prevent
xcontractures/ulcers) x
x
