NUR 265 TEST 3 Questions and Answers

What causes Autonomic Dysreflexia - Correct Answer Stimulation at level of T6 or above What are some examples of triggers of autonomic dysreflexia - Correct Answer restrictive clothing; full bladder/neurogenic bladder; fecal impaction; directive pressure s/a sitting in the wheel chair signs and systems of Autonomic Dysreflexia - Correct Answer 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 - Correct Answer 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 - Correct Answer Lactated ringers Chemical burns should be irrigated until - Correct Answer 20 minutes or the burn sensation continues after the 20 minute marker what would you use to remove hot tar or asphalt - Correct Answer citrus petroleum jelly ex; medisol petroleum jelly antibiotic ointment what kind of brain injury would you expect if an adult client is positive for Palmer's infant reflexes - Correct Answer cortical and premotor cortex damage what kind of brain injury would you expect if an adult client is positive for plantar infant reflexes - Correct Answer upper motor neuron lesion what kind of brain injury would you expect if an adult client is positive for rooting infant reflex - Correct Answer frontal lobe damage what kind of brain injury would you expect if an adult client is positive for sucking infant reflex - Correct Answer 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 - Correct Answer diffuse cortical dysfunction What is the consensus formula for burns - Correct Answer 2-4 ml X TBSA X KG