NR 341 final exam with questions and correct answers
high school student comes to ed with headache, fever, and neck pain - correct answer-
expect lumbar puncture bc indicative of bacterial meningitis
Status epileptics medication - correct answer-benzodiazepines (Lorazepam (ativan) is
drug of choice)
When the first line drugs are not effective for status epileptics, given to place pt in induced
coma - correct answer-phenobarbital
Delirium nursing interventions - correct answer-quiet environment, reorient, speak slowly,
dark room, maintain consistent routine, identify threats to safety
what to monitor following electrical burns - correct answer-telemetry for 24 hours
Priority for facial burns - correct answer-airway/intubate
Patients with burns on face/neck are at risk for what? - correct answer-airway obstruction
Patient has VS showing infection on burn site - what to do? - correct answer-get burn and
wound culture
process of getting blood cultures for burns - correct answer-Do blood cultures before any
antibiotics are given
Burns stress ulcers and prevention - correct answer-Curling's ulcer; NG tube is the
prevention
, priority for carbon monoxide burns - correct answer-oxygen with non rebreather mask
other priority for burns - correct answer-fluids
superficial burn (1st degree) - correct answer-like a sunburn (epidermis and maybe small
portion of dermis)
Partial thickness burn (2nd °) - correct answer-epidermis and most of dermis
Full thickness burn (3rd °) - correct answer-Same as partial thickness but may extend into
subcutaneous tissue; nerve damage
- Thick, dry leathery appearance
Deep Full thickness burn (4th °) - correct answer-Destruction of all layers plus muscles,
tendons & bones
- Black with no edema
Escharectomy - correct answer-surgical removal of eschar
priority intervention for DKA - correct answer-fluids
interventions for DKA and HHS - correct answer-insulin drip w/ regular insulin, *check
blood glucose every hour!! , monitor labs, electrolyte replacement
- fluid replacement:
First use 0.9% NS
Then 0.45% NS
Dextrose added when glucose approaches 200 mg/dL
high school student comes to ed with headache, fever, and neck pain - correct answer-
expect lumbar puncture bc indicative of bacterial meningitis
Status epileptics medication - correct answer-benzodiazepines (Lorazepam (ativan) is
drug of choice)
When the first line drugs are not effective for status epileptics, given to place pt in induced
coma - correct answer-phenobarbital
Delirium nursing interventions - correct answer-quiet environment, reorient, speak slowly,
dark room, maintain consistent routine, identify threats to safety
what to monitor following electrical burns - correct answer-telemetry for 24 hours
Priority for facial burns - correct answer-airway/intubate
Patients with burns on face/neck are at risk for what? - correct answer-airway obstruction
Patient has VS showing infection on burn site - what to do? - correct answer-get burn and
wound culture
process of getting blood cultures for burns - correct answer-Do blood cultures before any
antibiotics are given
Burns stress ulcers and prevention - correct answer-Curling's ulcer; NG tube is the
prevention
, priority for carbon monoxide burns - correct answer-oxygen with non rebreather mask
other priority for burns - correct answer-fluids
superficial burn (1st degree) - correct answer-like a sunburn (epidermis and maybe small
portion of dermis)
Partial thickness burn (2nd °) - correct answer-epidermis and most of dermis
Full thickness burn (3rd °) - correct answer-Same as partial thickness but may extend into
subcutaneous tissue; nerve damage
- Thick, dry leathery appearance
Deep Full thickness burn (4th °) - correct answer-Destruction of all layers plus muscles,
tendons & bones
- Black with no edema
Escharectomy - correct answer-surgical removal of eschar
priority intervention for DKA - correct answer-fluids
interventions for DKA and HHS - correct answer-insulin drip w/ regular insulin, *check
blood glucose every hour!! , monitor labs, electrolyte replacement
- fluid replacement:
First use 0.9% NS
Then 0.45% NS
Dextrose added when glucose approaches 200 mg/dL
