NUR 265 Exam 3 Medical Surgical Nursing Galen
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what would you use to remove hot tar or asphalt - Answer-
citrus petroleum jelly ex; medisol
petroleum jelly
antibiotic ointment
what kind of brain injury would you expect if an adult client
is positive for Palmer's infant reflexes - Answer-cortical
and premotor cortex damage
what kind of brain injury would you expect if an adult client
is positive for plantar infant reflexes - Answer-upper motor
neuron lesion
what kind of brain injury would you expect if an adult client
is positive for rooting infant reflex - Answer-frontal lobe
damage
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what kind of brain injury would you expect if an adult client
is positive for sucking infant reflex - Answer-Advance
dementia; cortical brain damage
what kind of brain injury would you expect if an adult client
is positive for glabella (persistent blinking) infant reflex -
Answer-diffuse cortical dysfunction
What is the consensus formula for burns - Answer-2-4 ml
X TBSA X KG
What S&S are expected for a burn client who is receiving
the first 8 hours of fluid resuscitation - Answer-
Restlessness, anxiety, Hypothermia
how much fluid replacement are you going to give the first
8 hours - Answer-1/2 of the fluid consensus
What do you need to monitor when resuscitating fluids for
burn pt to make sure that it is working - Answer-Urine
output
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Besides a hyperbaric chamber how would you admin o2 to
a client with CO poisoning - Answer-100% O2 with a non-
rebreather
How would you treat a circumferential trunk burn that is
swelling and why? - Answer-Eschartomies R/T constriction
of the chest wall expansion
what are the classification of shock - Answer-Cardiogenic;
hypovolemic, neurogenic, and Disruptive
What causes Autonomic Dysreflexia - Answer-Stimulation
at level of T6 or above
What are some examples of triggers of autonomic
dysreflexia - Answer-restrictive clothing; full
bladder/neurogenic bladder; fecal impaction; directive
pressure s/a sitting in the wheel chair
signs and systems of Autonomic Dysreflexia - Answer-
hypertension, flushed face, headaches, JVD, bradycardic,
diaphoresis, pale ext below the level of T6, nausea, dilated
pupils, blurred vision, restlessness
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What is the purpose of fluid resuscitation for a burn victim
- Answer-maintain vital organ perfusion, reduce edema,
minimize effects of fluid shifts, prevent hypovolemic shock
What IV solution is commonly used to resuscitate a pt with
a burn - Answer-Lactated ringers
Chemical burns should be irrigated until - Answer-20
minutes or the burn sensation continues after the 20
minute marker
All shock is caused by - Answer-inadequate tissue
perfusion
Patho of hypovolemic shock - Answer-Inadequate
circulating blood volume S/A burns, hemorrhage,
dehydration
Patho for cardiogenic shock - Answer-Inadequate pumping
action of the heart S/A MI, CHF, PE