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NUR 265 TEST 3 – Questions & Solutions (Galen
College of Nursing)
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Terms in this set (273)
What causes Autonomic Dysreflexia Stimulation at level of T6 or above
What are some examples of triggers restrictive clothing; full bladder/neurogenic bladder;
of autonomic dysreflexia fecal impaction; directive pressure s/a sitting in the
wheel chair
signs and systems of Autonomic hypertension, flushed face, headaches, JVD,
Dysreflexia bradycardic, diaphoresis, pale ext below the level of
T6, nausea, dilated pupils, blurred vision, restlessness
What is the purpose of fluid maintain vital organ perfusion, reduce edema,
resuscitation for a burn victim minimize effects of fluid shifts, prevent hypovolemic
shock
What IV solution is commonly used to Lactated ringers
resuscitate a pt with a burn
Chemical burns should be irrigated 20 minutes or the burn sensation continues after the
until 20 minute marker
what would you use to remove hot tar citrus petroleum jelly ex; medisol
or asphalt petroleum jelly
antibiotic ointment
what kind of brain injury would you cortical and premotor cortex damage
expect if an adult client is positive for
Palmer's infant reflexes
,what kind of brain injury would you upper motor neuron lesion
expect if an adult client is positive for
plantar infant reflexes
what kind of brain injury would you frontal lobe damage
expect if an adult client is positive for
rooting infant reflex
what kind of brain injury would you Advance dementia; cortical brain damage
expect if an adult client is positive for
sucking infant reflex
what kind of brain injury would you diffuse cortical dysfunction
expect if an adult client is positive for
glabella (persistent blinking) infant
reflex
What is the consensus formula for 2-4 ml X TBSA X KG
burns
What S&S are expected for a burn Restlessness, anxiety, Hypothermia
client who is receiving the first 8 hours
of fluid resuscitation
how much fluid replacement are you 1/2 of the fluid consensus
going to give the first 8 hours
What do you need to monitor when Urine output
resuscitating fluids for burn pt to make
sure that it is working
Besides a hyperbaric chamber how 100% O2 with a non-rebreather
would you admin o2 to a client with
CO poisoning
How would you treat a circumferential Eschartomies R/T constriction of the chest wall
trunk burn that is swelling and why? expansion
, what are the classification of shock Cardiogenic; hypovolemic, neurogenic, and
Disruptive
All shock is caused by inadequate tissue perfusion
Patho of hypovolemic shock Inadequate circulating blood volume S/A burns,
hemorrhage, dehydration
Patho for cardiogenic shock Inadequate pumping action of the heart S/A MI, CHF,
PE
What are the 3 subclasses of Anaphylactic; Septic; Neurogenic
Distributive shock
Patho for neurogenic shock interference of the nervous system that controls the
blood vessels
Patho for septic shock Release of vasoactive substance from the immune
system
How much blood loss is required for 15-25%, or 1/3 of the body blood, or 5L
the patient to be at high risk for
hypovolemic shock
clients who experience slow blood Tolerate the blood loss better then a client with rapid
loss can blood loss
Signs and symptoms of compensatory hypotension, tachycardia, tachypnea, hypothermia,
shock decrease pulse pressure
During compensatory stage of shock, Body shunting blood from skin, kidneys and GI to
why would you hear hypoactive bowl provide adequate blood volume to the brain and
sounds and cool and clammy skin heart
Why would urine output decrease High production of aldosterone
during compensatory stage of shock
payment. benefits now
NUR 265 TEST 3 – Questions & Solutions (Galen
College of Nursing)
Save Groups
Terms in this set (273)
What causes Autonomic Dysreflexia Stimulation at level of T6 or above
What are some examples of triggers restrictive clothing; full bladder/neurogenic bladder;
of autonomic dysreflexia fecal impaction; directive pressure s/a sitting in the
wheel chair
signs and systems of Autonomic hypertension, flushed face, headaches, JVD,
Dysreflexia bradycardic, diaphoresis, pale ext below the level of
T6, nausea, dilated pupils, blurred vision, restlessness
What is the purpose of fluid maintain vital organ perfusion, reduce edema,
resuscitation for a burn victim minimize effects of fluid shifts, prevent hypovolemic
shock
What IV solution is commonly used to Lactated ringers
resuscitate a pt with a burn
Chemical burns should be irrigated 20 minutes or the burn sensation continues after the
until 20 minute marker
what would you use to remove hot tar citrus petroleum jelly ex; medisol
or asphalt petroleum jelly
antibiotic ointment
what kind of brain injury would you cortical and premotor cortex damage
expect if an adult client is positive for
Palmer's infant reflexes
,what kind of brain injury would you upper motor neuron lesion
expect if an adult client is positive for
plantar infant reflexes
what kind of brain injury would you frontal lobe damage
expect if an adult client is positive for
rooting infant reflex
what kind of brain injury would you Advance dementia; cortical brain damage
expect if an adult client is positive for
sucking infant reflex
what kind of brain injury would you diffuse cortical dysfunction
expect if an adult client is positive for
glabella (persistent blinking) infant
reflex
What is the consensus formula for 2-4 ml X TBSA X KG
burns
What S&S are expected for a burn Restlessness, anxiety, Hypothermia
client who is receiving the first 8 hours
of fluid resuscitation
how much fluid replacement are you 1/2 of the fluid consensus
going to give the first 8 hours
What do you need to monitor when Urine output
resuscitating fluids for burn pt to make
sure that it is working
Besides a hyperbaric chamber how 100% O2 with a non-rebreather
would you admin o2 to a client with
CO poisoning
How would you treat a circumferential Eschartomies R/T constriction of the chest wall
trunk burn that is swelling and why? expansion
, what are the classification of shock Cardiogenic; hypovolemic, neurogenic, and
Disruptive
All shock is caused by inadequate tissue perfusion
Patho of hypovolemic shock Inadequate circulating blood volume S/A burns,
hemorrhage, dehydration
Patho for cardiogenic shock Inadequate pumping action of the heart S/A MI, CHF,
PE
What are the 3 subclasses of Anaphylactic; Septic; Neurogenic
Distributive shock
Patho for neurogenic shock interference of the nervous system that controls the
blood vessels
Patho for septic shock Release of vasoactive substance from the immune
system
How much blood loss is required for 15-25%, or 1/3 of the body blood, or 5L
the patient to be at high risk for
hypovolemic shock
clients who experience slow blood Tolerate the blood loss better then a client with rapid
loss can blood loss
Signs and symptoms of compensatory hypotension, tachycardia, tachypnea, hypothermia,
shock decrease pulse pressure
During compensatory stage of shock, Body shunting blood from skin, kidneys and GI to
why would you hear hypoactive bowl provide adequate blood volume to the brain and
sounds and cool and clammy skin heart
Why would urine output decrease High production of aldosterone
during compensatory stage of shock
