NR 341 final exam questions with 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
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
