NUR 2790 PN3 EXAM 2 GUIDE - Rasmussen 2023

NUR 2790 PN3 EXAM 2 GUIDE - Rasmussen 2023. The nurse is concerned about developing post-traumatic stress disorder after working for several years in the emergency department. Which of the following should the nurse do to ensure this disorder does not manifest? (SATA) a. Eat well-balanced meals b. Drink water c. Take breaks when needed d. Do not work more than 12 hours per day e. Ingest at least one alcoholic drink every evening 5. A nurse is triaging clients in the emergency department. Which client would the nurse classify as “non-urgent?” a. A 44-year old with chest pain and diaphoresis b. A 50-year old with chest trauma and absent breath sounds c. A 62-year old with a simple fracture of the left arm d. A 79 year old with a temperature of 104F (40C) 6. A client presents to the Emergency Department with 30% total body surface area (TBSA) burns. The client weighs 176lbs. Use the Parkland Formula (4ml) to calculate the hourly rate for the first 8 hours. a. 600ml/hr b. 1200ml/hr c. 1760ml/hr d. 2670ml/hr 7. A client is being evaluated in the emergency department following burn injury at home. The client has second- and third-degree burns to the right and left arms, back and both posterior legs. Using the rule of nines, the nurse would calculate this client’s burn as being: a. 36% b. 45% c. 54% d. 72% 8. A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support? a. Assign assistive personnel to keep his room neat and clean b. Rotate nursing staff so he can have varied interactions c. Talk with the client during wound care d. Keep family members aware of his condition 9. You are providing care to Mary a 22-year old female who received burns to much of head and anterior neck. As the nurse, you understand that Mary should be positioned in which of the following positions to prevent contractures of the head and neck? a. Hyperextension with no pillow b. Flexion and promoting side-to-side movement of the head c. Hyperextension with neck brace d. Flexion and supine 10. The nurse is in the emergency department is using a triage system because this system ranks clients by: a. Severity of illness or injury b. Body systems involved c. Name d. Age 11. Emergent interventions for a client with burns to the face and trunk/arms may include which of the following? (SATA) a. Inserting an indwelling urinary catheter b. Intubating the client c. Oral medications for pain management d. Starting an intravenous solution of Ringer’s lactate e. Range of motion exercise to avoid contractures to extremities 12. A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client’s care. The nurse should identify which of the following risks as the priority for assessment and intervention? a. Airway obstruction b. Infection c. Fluid imbalance d. Paralytic ileus 13. The emergency department nurse is preparing to triage victims of an internal event. Which of the following would be considered an internal event? a. Bus crash in front of the hospital b. Train crash 5 miles away c. Fire in the hospital d. Explosion in a nearby oil station 14. In the event of a mass casualty situation the best triage nurse is: a. The recently graduated registered nurse (RN) b. The licensed vocational nurse (LVN) with 5 years; experience c. The RN with the most experience and bst assessment skills d. The recently graduated LVN