NUR2755 / NUR 2755 Multidimensional Care IV Exam 2 Review | Q & A | LATEST, 2022 / 2023 | Rasmussen College

NUR2755 / NUR 2755 Multidimensional Care IV Exam 2 Review | Q & A | LATEST, 2022 / 2023 | Rasmussen College 1. What is ventilator associated pneumonia? ~ Infection from being on the ventilator for a long time 2. A nurse is learning about ARDS. What are the causes of ARDS? ~ Sepsis, Infection, burns, near drowning, trauma, shock. 3. A client with a bone infection is getting information on ensuring his infection does not progress into sepsis or septic shock. What might be some risk factors of the conditions? ~ Infection risks, chancer, chemo, immunocompromised states, immunosuppressants, HIV 4. A nurse will be preparing to care for a newly intubated patient. What are some things she must prepare and remember while caring for the patient? ~ Place ambu bag at bedside, suction PRN, switch tube once a shift, assess respiratory status every 2 hrs, oral and mouth care every 2 hrs, wash hands, expect orders for PPI or H2RB, 5. A patient is suspected to have a PE while in the ED. What might be some manifestations of this occurring? ~ Low o2 saturation, low BP, sudden severe SOB, chest pain, LOC changes, petechiae, lung edema , ascites. 6. A client was recently just extubated and now is showing signs of stridor and low oxygen levels. What might of occurred and who should be called? ~ Irritation fo the throat form the tube. Call RRT 7. What are clinical manifestations of hypovolemic shock? ~ weak and thready pulse, decreased BP, increased HR, altered LOC, shallow and fast respiration, long capillary refill, decreased H/H, low urine output. 8. A client has fluid volume excess due to heart failure. What are some of the important cardiac findings for this condition? ~ Bounding pulse, JVD, central venous pressure is high, wedge pressure is high 9. What must the nurse do immediately when a patient presents with an inhalation injury? ~ Intubate to assume an airway, assess respiratory status. 10. A burn patient presents to the ED. What are some of the signs they may present with leading to an inhalation injury? ~ SOB, soot around nose, singed facial hairs, drooling, not swallowing, black membranes. 11. What things could cause an elevated wedge pressure? ~ FVE, left ventricular failure 12. What are the components of DIC? ~ Inappropriate clotting that uses up all the clotting factors and bleeding due to not having enough clotting factors bath the same time. 13. A client comes in to the ED experiencing DIC. What treatment might the provider order for this condition?