NUR 213 Final Exam Review
If a pt. sustains and electrical burn what is the first thing you should do? - Answer
Remove pt from source.
What is anthrax, plague and tularemia treated with? - Answer Antibiotics
How is botulism treated? - Answer Antitoxin
What is sarin? - Answer (powder) toxic nerve gas that can cause death w/n minutes of
exposure, enters body through eyes & skin, acts by paralyzing resp. muscles
What are antidotes for nerves agents? - Answer Atropine, pralidoxime chloride
What is phosgene? - Answer Colorless gas, if inhaled @ high concentration for long
enough period, causes severe resp. distress, pulmonary edema, and death
What is mustard gas? - Answer Yellow to brown in color with garlic-like odor, irritates
eyes & causes skin burns/blisters
What are radiological dispersal devices? - Answer 'Dirty bombs', explosives &
radioactive material.
What is the RED tag criteria? - Answer Critically injured, with problems requiring
immediate intervention (EMERGENT), RR >30, or RR<30 & cap refill >2 seconds or if
cap refill <2 seconds - assess mental status (CANNOT follow simple commands)
What is the criteria for the yellow tag? - Answer Urgent; injured & will require medical
attention bt will not die if care is delayed, not ambulatory, needs stretcher for transport,
CAN follow simple commands
What is the criteria for green tag? - Answer Ambulatory, not critically injured, walkie
talkie, have them walk to safe place
What is criteria for black tag? - Answer Expectant/dead, deceased or not expected to
live, if pt not breathing, open airway manually, if pt cont. to be apneic = TAG BLACK
What should you tag a pt, if they are apneic on arrival but after manually opening airway
the pt begins to breathe? - Answer RED
Rule of Nines- what is the % for torso & back? - Answer 18% each
Rule of Nines - what is the % for arms & head? - Answer 4.5% each
Rule of Nines- What is the % for the legs? - Answer 9% each
If a pt sustains a chemical burn what is the first thing you should do? - Answer Brush
solid particles off the skin & use water lavage
, NUR 213 Final Exam Review
If a pt sustains a small thermal burn what is the first thing you should do? - Answer
Cover w/ clean, cool, tap water- dampened towel
If a pt sustains a large thermal burn what is the first thing you should do? - Answer
Assess ABCs, DO NOT immerse in cool water or pack w/ ice, remove burned clothing,
wrap in clean, dry sheet or blanket.
If a pt sustains a inhalation injury what is the first thing you should do? - Answer
Observe for s/s of resp. distress or compromise.
Burn complications - Answer hypovolemia, infection, compartment syndrome, edema,
AMS, Adynamic ileus, blisters, dysrhythmias, tissue ischemia, necrosis, sludging,
airway obstruction, renal ischemia, acute tubular necrosis
What is the Parkland Baxter formula? - Answer 4ml * TBSA% * wt. in kg
ARDS etiology - Answer Develops from a variety of direct or indirect lung injuries.
Causes low blood oxygen; fluids builds up inside the tiny air sacs of the lungs &
surfactant breaks down. Most common cause is sepsis. 1st symptoms is usually S.0.B.;
main tx: supplemental O2
S/S of low O2 levels in a ARDS pt - Answer Dyspnea, tachypnea, restlessness,
diaphoresis, cyanosis, pallor, hypoxemia despite increased FIO2, blue finger tips or
tone of skin; chest auscultation may reveal normal of fine scattered crackles; increased
work of breathing; "white out" chest x-ray
Interventions for ARDS - Answer O2 administration (BiPAP, CPAP, mech. vent),
proning, maintenance of nutrition/fluid intake, acid-reducing meds, blood transfusion
(low HGB), ECMO, ABX, blood thinners, muscle relaxants, pain meds, sedatives, & PT
(prevent contractures/ulcers)
S/S of bacterial meningitis - Answer High fever, nuchal rigidity, severe headache,
postive Brudzinski sign, positive Kernig's sign, AMS (stupor, drowsiness, delirium),
diplopia, photophobia, petechiae on trunk, extremities & mucous membranes
What type of precautions should bacterial meningitis patients be put on? - Answer
Droplet
S/S of meningitis in children - Answer High pitched moaning cry, dislike of being
handled, arching back, neck retraction, blank staring expression, lethargic, difficult to
wake, fever and possible cold hands and feet, refusing feeds or vomiting, pale and
blotchy skin color
Which type of meningitis is a medical emergency? - Answer Bacterial
If a pt. sustains and electrical burn what is the first thing you should do? - Answer
Remove pt from source.
What is anthrax, plague and tularemia treated with? - Answer Antibiotics
How is botulism treated? - Answer Antitoxin
What is sarin? - Answer (powder) toxic nerve gas that can cause death w/n minutes of
exposure, enters body through eyes & skin, acts by paralyzing resp. muscles
What are antidotes for nerves agents? - Answer Atropine, pralidoxime chloride
What is phosgene? - Answer Colorless gas, if inhaled @ high concentration for long
enough period, causes severe resp. distress, pulmonary edema, and death
What is mustard gas? - Answer Yellow to brown in color with garlic-like odor, irritates
eyes & causes skin burns/blisters
What are radiological dispersal devices? - Answer 'Dirty bombs', explosives &
radioactive material.
What is the RED tag criteria? - Answer Critically injured, with problems requiring
immediate intervention (EMERGENT), RR >30, or RR<30 & cap refill >2 seconds or if
cap refill <2 seconds - assess mental status (CANNOT follow simple commands)
What is the criteria for the yellow tag? - Answer Urgent; injured & will require medical
attention bt will not die if care is delayed, not ambulatory, needs stretcher for transport,
CAN follow simple commands
What is the criteria for green tag? - Answer Ambulatory, not critically injured, walkie
talkie, have them walk to safe place
What is criteria for black tag? - Answer Expectant/dead, deceased or not expected to
live, if pt not breathing, open airway manually, if pt cont. to be apneic = TAG BLACK
What should you tag a pt, if they are apneic on arrival but after manually opening airway
the pt begins to breathe? - Answer RED
Rule of Nines- what is the % for torso & back? - Answer 18% each
Rule of Nines - what is the % for arms & head? - Answer 4.5% each
Rule of Nines- What is the % for the legs? - Answer 9% each
If a pt sustains a chemical burn what is the first thing you should do? - Answer Brush
solid particles off the skin & use water lavage
, NUR 213 Final Exam Review
If a pt sustains a small thermal burn what is the first thing you should do? - Answer
Cover w/ clean, cool, tap water- dampened towel
If a pt sustains a large thermal burn what is the first thing you should do? - Answer
Assess ABCs, DO NOT immerse in cool water or pack w/ ice, remove burned clothing,
wrap in clean, dry sheet or blanket.
If a pt sustains a inhalation injury what is the first thing you should do? - Answer
Observe for s/s of resp. distress or compromise.
Burn complications - Answer hypovolemia, infection, compartment syndrome, edema,
AMS, Adynamic ileus, blisters, dysrhythmias, tissue ischemia, necrosis, sludging,
airway obstruction, renal ischemia, acute tubular necrosis
What is the Parkland Baxter formula? - Answer 4ml * TBSA% * wt. in kg
ARDS etiology - Answer Develops from a variety of direct or indirect lung injuries.
Causes low blood oxygen; fluids builds up inside the tiny air sacs of the lungs &
surfactant breaks down. Most common cause is sepsis. 1st symptoms is usually S.0.B.;
main tx: supplemental O2
S/S of low O2 levels in a ARDS pt - Answer Dyspnea, tachypnea, restlessness,
diaphoresis, cyanosis, pallor, hypoxemia despite increased FIO2, blue finger tips or
tone of skin; chest auscultation may reveal normal of fine scattered crackles; increased
work of breathing; "white out" chest x-ray
Interventions for ARDS - Answer O2 administration (BiPAP, CPAP, mech. vent),
proning, maintenance of nutrition/fluid intake, acid-reducing meds, blood transfusion
(low HGB), ECMO, ABX, blood thinners, muscle relaxants, pain meds, sedatives, & PT
(prevent contractures/ulcers)
S/S of bacterial meningitis - Answer High fever, nuchal rigidity, severe headache,
postive Brudzinski sign, positive Kernig's sign, AMS (stupor, drowsiness, delirium),
diplopia, photophobia, petechiae on trunk, extremities & mucous membranes
What type of precautions should bacterial meningitis patients be put on? - Answer
Droplet
S/S of meningitis in children - Answer High pitched moaning cry, dislike of being
handled, arching back, neck retraction, blank staring expression, lethargic, difficult to
wake, fever and possible cold hands and feet, refusing feeds or vomiting, pale and
blotchy skin color
Which type of meningitis is a medical emergency? - Answer Bacterial
