Nurse 4705 EXAM 3 -FINAL Q&A 2023/2024

Know the components of the primary and secondary survey. - Answer- *Primary* survey focuses on airway, breathing, circulation, and disability, exposure (ABCDE) *Secondary* survey is a brief, systematic process to identify all injuries Know the treatment for common poisons (Table is 69-11 in Lewis is a nice resource). - Answer- Acetaminophen (Tylenol)- poisoning treated with N-Acetylcysteine and activated charcoal. Aspirin-Gastric lavage, activated charcoal and hemodialysis Which of the following assessment parameters will the nurse address during the secondary assessment of a patient in triage? A. Blood pressure and heart rate B. Patency of the patient's airway C. Neurologic status and level of consciousness D. Presence or absence of breath sound and quality of breathing - Answer- *A. Blood pressure and heart rate* Vital signs are considered to be a part of the secondary assessment in the triage process. Airway, breathing, and a brief neurologic assessment are components of the primary survey. Effective interventions to decrease absorption or increase elimination of an ingested poison include which of the following (select all that apply)? a.Hemodialysis b.Milk dilution c.Eye irrigation d.Gastric lavage e.Activated charcoal - Answer- *a. Hemodialysis* *d. Gastric lavage* *e. Activated charcoal* An 18-year-old female has been admitted to the emergency department after ingesting an entire bottle of chewable multivitamins in a suicide attempt. The nurse should anticipate which of the following interventions? A. Induced vomiting B. Whole bowel irrigation C. Admini