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