Nur 265 exam 3 Study guides, Class notes & Summaries

NUR 265 Exam 3 Twelve hours after the client was initially burned, bowel sounds are absent in all four abdominal quadrants. Which is the nurse's best action? - Correct Answer -Document the findings Why? Decreased or absent peristalsis is an expected response during the emergent phase of burn injury as a result of neural and hormonal compensation to the stress of injury. No currently accepted intervention changes this response. It is not the highest priority of care at this Three days aft...

Exam 3: NUR265 / NUR 265 (Latest 2024 / 2025 Update) Advanced Concepts of Medical–Surgical Nursing Exam Review | Complete Guide with Questions and Verified Answers | 100% Correct - Galen Q: What is cholinergic crisis? Answer: too much cholinesterase inhibitor drug Q: What are s/s of cholinergic crisis? Answer: fasciculations hypersalivation sweating bronchospasms increase bronchial secretions bradycardia Q: What is tx for cholinergic crisis? Answer: atropine DO NOT GIVE ANTICHOLINESTERASE Q: W...

-decreased LOC(lethargy to coma) -restlessness, irritability, confusion -headache -projectile N&V -change in speech pattern/slurred speech -dilated nonreactive pupils or constructed nonreactive pupils -ataxia -seizure -abnormal posturing -Cushing's triad: severe HTN, widened pulse pressure, bradycardia Key sx of increased ICP - Symptoms of increased ICP -severe HTN, widened pulse pressure, bradycardia What is Cushing's triad - Most at risk during 1st 72 hours after stroke onset ...

What is encephalitis? - inflammation or infection of the brain What causes encephalitis? - West Nile Virus Herpes What are the s/s of encephalitis? - High fever, N/V, stiff neck Flu like symptoms change in LOC photophobia pupil changes (dilate & less responsive to light) What is used to dx encephalitis? - lumbar puncture EEG CT (looks for mass) What are N/I for encephalitis? - Neuro checks Monitor for s/s of ICP Suction only resp compromised HOB 30-45 Decrease stimuli What is the...

Exam 3: NUR265 / NUR 265 (Latest 2024 / 2025 Update) Advanced Concepts of Medical–Surgical Nursing Exam | Questions and Verified Answers | 100% Correct | Grade A - Galen Q: Which finding indicates to the nurse that a client with a burn injury has a positive perception of his appearance? Answer: Performing his own morning care. Indicators that the client with a burn injury has a positive perception of his appearance includes the willingness to touch the affected body part. Self-care activities ...

NUR 265 EXAM 3 REVIEW #1: The nurse is working in the emergency department (ED) is admitting a client who has sustained a traumatic brain injury (TBI) following a motor vehicle crash. It is priority for the nurse to notify the primary healthcare provider (PHCP) in the client: Takes prescribed warfarin daily. RATIONALE: Pg. 2400. Hemorrhage may occur as part of the primary injury and begin at the moment of impact. Warfarin is a blood thinner and the patient may bleed out if they have a hemato...

TEST BANK - MEDSURG 2 NUR 265 EXAM 3 - Galen College of Nursing

Galen College of Nursing - MEDSURG 2 NUR 265 EXAM 3 - TEST BANK (All Correct) Chapter 26: Care of Patients with Burns Ignatavicius: Medical-Surgical Nursing, 8th Edition MULTIPLE CHOICE 1. The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client? a. “Administer the prescribed tetanus toxoid vaccine.” b. “Assess the client’s wounds for signs of infec...