NUR288 Exam 3 Questions With Complete Solutions
"halo sign" what is it? What does it indicate? Correct Answers
A clear or yellow tinged ring surrounding a drop of blood when
bloody drainage placed on piece of gauze. Indicates CSF, which
indicates basilar skull fracture.
8 domains of palliative care Correct Answers -Structure and
processes of care
-Physical aspects of care
-Psychological and psychiatric aspects of care
-Social aspects of care
-Spiritual, religious, and existential aspects of care
-Cultural aspects of care
-Care of the patient at the end of life
-Ethical and legal aspects of care
A change in neuro function but no identified brain damage,
usually resolves within 72 hours. What class of TBI? Correct
Answers Mild
Accurate vs non accurate way to determine carbon monoxide
poisoning? Correct Answers Accurate: monitor
carboxyhemoglobin levels
Not accurate: SPO2 level
Activities that briefly increase ICP Correct Answers - coughing
- bending
- sneezing
- straining (valsalva)
- oral/endotracheal suctioning
,- extreme head or neck extension/flexion
Acute only hepatitis types Correct Answers A & E
Acute pancreatitis complications Correct Answers -
intravascular volume depletion with shock
-acute tubular necrosis & renal failure
-ARDS
-pancreatic necrosis, abscess, pseudocyst
-multi system organ failure if any of the above become infected
-generalized peritonitis or pancreatic ascites
Acute pancreatitis manifestations Correct Answers -develops
suddenly with abrupt onset
-severe epigastric and abdominal pain
-radiates to back
-somewhat relieved by sitting up and leaning forward
-often initiated by fatty meal or excessive ETOH intake
-N/V
-abdominal distention and rigidity
-decreased bowel sounds
-tachycardia
-hypotension
-increased temp
-cold clammy skin
-jaundice may appear within 24 hours
-retroperitoneal bleed may occur 3-6 days after onset (cullens
sign, grey-turners sign)
Acute pancreatitis therapies Correct Answers -NPO
-IV hydration
,-analgesics
-antibiotics
Acute phase of burn
Onset:
Duration: Correct Answers Onset: Begins with start of diuresis
Duration: ends with closure of wound
Acute phase of burn priorities Correct Answers - Assessment
and maintenance of cardiovascular, respiratory, and GI
symptoms
- wound care
- pain control
- psychosocial needs
Albumin Correct Answers Improves response to diuretics in
patients with ascites
Alcoholism pancreatitis prognosis Correct Answers Poor
Amylase & lipase levels with acute pancreatitis Correct Answers
Extremely elevated
Amylase & lipase levels with chronic pancreatitis Correct
Answers Within normal limits or slightly elevated
An infected pancreatic pseudocyst becomes what? Correct
Answers pancreatic abscess
Anticipatory grief Correct Answers Occurs when there is
foreknowledge of an impending loss
, Aside from foods/drinks, what stimulates the pancreas and
should be avoided? Correct Answers Stress and smoking
Balloon tamponade definition & risks Correct Answers
Definition: Applies direct pressure on bleeding varices, tension
used to further decompress varices
Risks: aspiration, airway obstruction, and tissue
ischemia/necrosis
Barbiturate coma definition? When is it used/what is it used for?
Interventions? Correct Answers - Client placed in coma using
barbiturates to decrease cellular metabolic demand until ICP can
be decreased
- Barbiturate meds: phenobarbital, thiopental
- Med dose adjusted to keep pt completely unresponsive
- mechanical ventilation, cardiac and hemodynamic monitoring,
and ICP monitoring required
Biliary tract pancreatitis prognosis Correct Answers Good
Bittersweet grief Correct Answers Occurs in response to
memories that linger after loss
Both palliative and hospice Correct Answers Comfort care
Reduce stress
Complex symptom relief related to serious illness
Physical and psychosocial relief
Brain herniation definition, treatment, outcome Correct Answers
- downward shift of brain tissue due to cerebral edema
"halo sign" what is it? What does it indicate? Correct Answers
A clear or yellow tinged ring surrounding a drop of blood when
bloody drainage placed on piece of gauze. Indicates CSF, which
indicates basilar skull fracture.
8 domains of palliative care Correct Answers -Structure and
processes of care
-Physical aspects of care
-Psychological and psychiatric aspects of care
-Social aspects of care
-Spiritual, religious, and existential aspects of care
-Cultural aspects of care
-Care of the patient at the end of life
-Ethical and legal aspects of care
A change in neuro function but no identified brain damage,
usually resolves within 72 hours. What class of TBI? Correct
Answers Mild
Accurate vs non accurate way to determine carbon monoxide
poisoning? Correct Answers Accurate: monitor
carboxyhemoglobin levels
Not accurate: SPO2 level
Activities that briefly increase ICP Correct Answers - coughing
- bending
- sneezing
- straining (valsalva)
- oral/endotracheal suctioning
,- extreme head or neck extension/flexion
Acute only hepatitis types Correct Answers A & E
Acute pancreatitis complications Correct Answers -
intravascular volume depletion with shock
-acute tubular necrosis & renal failure
-ARDS
-pancreatic necrosis, abscess, pseudocyst
-multi system organ failure if any of the above become infected
-generalized peritonitis or pancreatic ascites
Acute pancreatitis manifestations Correct Answers -develops
suddenly with abrupt onset
-severe epigastric and abdominal pain
-radiates to back
-somewhat relieved by sitting up and leaning forward
-often initiated by fatty meal or excessive ETOH intake
-N/V
-abdominal distention and rigidity
-decreased bowel sounds
-tachycardia
-hypotension
-increased temp
-cold clammy skin
-jaundice may appear within 24 hours
-retroperitoneal bleed may occur 3-6 days after onset (cullens
sign, grey-turners sign)
Acute pancreatitis therapies Correct Answers -NPO
-IV hydration
,-analgesics
-antibiotics
Acute phase of burn
Onset:
Duration: Correct Answers Onset: Begins with start of diuresis
Duration: ends with closure of wound
Acute phase of burn priorities Correct Answers - Assessment
and maintenance of cardiovascular, respiratory, and GI
symptoms
- wound care
- pain control
- psychosocial needs
Albumin Correct Answers Improves response to diuretics in
patients with ascites
Alcoholism pancreatitis prognosis Correct Answers Poor
Amylase & lipase levels with acute pancreatitis Correct Answers
Extremely elevated
Amylase & lipase levels with chronic pancreatitis Correct
Answers Within normal limits or slightly elevated
An infected pancreatic pseudocyst becomes what? Correct
Answers pancreatic abscess
Anticipatory grief Correct Answers Occurs when there is
foreknowledge of an impending loss
, Aside from foods/drinks, what stimulates the pancreas and
should be avoided? Correct Answers Stress and smoking
Balloon tamponade definition & risks Correct Answers
Definition: Applies direct pressure on bleeding varices, tension
used to further decompress varices
Risks: aspiration, airway obstruction, and tissue
ischemia/necrosis
Barbiturate coma definition? When is it used/what is it used for?
Interventions? Correct Answers - Client placed in coma using
barbiturates to decrease cellular metabolic demand until ICP can
be decreased
- Barbiturate meds: phenobarbital, thiopental
- Med dose adjusted to keep pt completely unresponsive
- mechanical ventilation, cardiac and hemodynamic monitoring,
and ICP monitoring required
Biliary tract pancreatitis prognosis Correct Answers Good
Bittersweet grief Correct Answers Occurs in response to
memories that linger after loss
Both palliative and hospice Correct Answers Comfort care
Reduce stress
Complex symptom relief related to serious illness
Physical and psychosocial relief
Brain herniation definition, treatment, outcome Correct Answers
- downward shift of brain tissue due to cerebral edema
