Med Surg 3 Final/MS3 Final, MSS: Emergency &
Disaster Nursing (Questions and Answers With
Rationale) 2023/2024 A+ Score Guide
What formula is commonly used to figure fluid resuscitation needs for the burn
victim? - ANSWER The Baxter Formula.
What is the Baxter formula and how much do you administer in the first 8 hours? -
ANSWER (3ml)x(weight in kg)x(TBSA burned) = ml's in first 24 hours.
>give 1/2 in the 1st 8 hours.
In what 3 ways may a wound heal? - ANSWER -Primary intention: approximate
wound edges by staples/sutures.
-Secondary intention:
leave open to drain or there are no wound edges to approximate.
-Tertiary intention: leave open to drain and then approximate wound edges.
What type of gloves should be worn to remove a dressing? - ANSWER Clean
What type of gloves should be worn to apply a new dressing? - ANSWER Sterile.
Jenny has suffered burns to her left anterior leg, left anterior arm and the upper 1/2
of her back. What is her % of burns? What is the formula for calculating burns
called? - ANSWER 9 + 4.5 + 9 = 23%
Rule of Nines.
An elderly male patient presents w/ c/o anuria. The nurse anticipates an order for
what? - ANSWER Urinary catheter placement.
How are belladonna and opium (B&O) administered after prostate surgery? -
ANSWER Rectally as a suppository.
During a transurethral procedure, where is the incision made? - ANSWER
Instruments are inserted through the urethra.
Cherry has a vaginal yeast infection. She asks what causes this type of infection.
You will tell her? - ANSWER Candida albicans.
What are the risk factors associated w/ breast cancer? - ANSWER -Obesity.
-High alcohol intake.
-Early menarche.
-Late pregnancy.
-High fat diet.
Lab values to monitor for ARF and/or CRF include? - ANSWER Creatinine, BUN,
and RBC's.
, *Renal failure decreases production of erythropoiten.*
Long term steroid use is a common cause of what endocrine disorder? - ANSWER
Cushing's syndrome.
Your patient has hyperthyroidism. What are your priority nursing interventions? -
ANSWER -Calm quiet environment.
-Monitor VS.
-Adm. beta-blockers, ice-packs.
What interventions are important for clients w/ a hx of CHF? - ANSWER -Weigh
daily.
-Limit fluid intake.
-Assess respiratory status.
What type of tumor should the nurse suspect if a pt has had an adrenalectomy? -
ANSWER Pheochromocytoma.
What is an important intervention/teaching for a pt diagnosed w/ Otitis Media? -
ANSWER Do not put anything into the ear, take all of your antibiotics.
Addison's dz is characterized by low serum levels of what? - ANSWER -Sodium.
-Sugar.
-Steroid levels.
Dementia pts will do best when they are exposed to what type of daily activity? -
ANSWER A routine daily plan; reorient.
Regular insulin is considered short acting. Lantus is an example of a long acting
insulin. What type of insulin is NPH? - ANSWER Intermediate acting.
After measuring body fluids that are removed during a procedure the nurse must do
what? - ANSWER Describe and document the amount and type of fluid.
What inhibits synthesis of specific clotting factors in the liver and takes 3-4 days to
exert an anticoagulant effect? - ANSWER Warfarin.
After an abdominal surgery the client will be kept NPO until... - ANSWER the return
of bowel sounds.
Jerry has a wound infection. What S/S do you expect to find on your bedside
assessment? - ANSWER -Elevated temp.
-Purulent drainage.
-Pain and/or edema.
Hemorrhage will have what effect on the urinary system? - ANSWER Decreased
UO- kidneys are shunting all fluids to vital organs.
What are routine early interventions for chest pain? - ANSWER Oxygen, nitro,
morphine (lidocaine last)
Disaster Nursing (Questions and Answers With
Rationale) 2023/2024 A+ Score Guide
What formula is commonly used to figure fluid resuscitation needs for the burn
victim? - ANSWER The Baxter Formula.
What is the Baxter formula and how much do you administer in the first 8 hours? -
ANSWER (3ml)x(weight in kg)x(TBSA burned) = ml's in first 24 hours.
>give 1/2 in the 1st 8 hours.
In what 3 ways may a wound heal? - ANSWER -Primary intention: approximate
wound edges by staples/sutures.
-Secondary intention:
leave open to drain or there are no wound edges to approximate.
-Tertiary intention: leave open to drain and then approximate wound edges.
What type of gloves should be worn to remove a dressing? - ANSWER Clean
What type of gloves should be worn to apply a new dressing? - ANSWER Sterile.
Jenny has suffered burns to her left anterior leg, left anterior arm and the upper 1/2
of her back. What is her % of burns? What is the formula for calculating burns
called? - ANSWER 9 + 4.5 + 9 = 23%
Rule of Nines.
An elderly male patient presents w/ c/o anuria. The nurse anticipates an order for
what? - ANSWER Urinary catheter placement.
How are belladonna and opium (B&O) administered after prostate surgery? -
ANSWER Rectally as a suppository.
During a transurethral procedure, where is the incision made? - ANSWER
Instruments are inserted through the urethra.
Cherry has a vaginal yeast infection. She asks what causes this type of infection.
You will tell her? - ANSWER Candida albicans.
What are the risk factors associated w/ breast cancer? - ANSWER -Obesity.
-High alcohol intake.
-Early menarche.
-Late pregnancy.
-High fat diet.
Lab values to monitor for ARF and/or CRF include? - ANSWER Creatinine, BUN,
and RBC's.
, *Renal failure decreases production of erythropoiten.*
Long term steroid use is a common cause of what endocrine disorder? - ANSWER
Cushing's syndrome.
Your patient has hyperthyroidism. What are your priority nursing interventions? -
ANSWER -Calm quiet environment.
-Monitor VS.
-Adm. beta-blockers, ice-packs.
What interventions are important for clients w/ a hx of CHF? - ANSWER -Weigh
daily.
-Limit fluid intake.
-Assess respiratory status.
What type of tumor should the nurse suspect if a pt has had an adrenalectomy? -
ANSWER Pheochromocytoma.
What is an important intervention/teaching for a pt diagnosed w/ Otitis Media? -
ANSWER Do not put anything into the ear, take all of your antibiotics.
Addison's dz is characterized by low serum levels of what? - ANSWER -Sodium.
-Sugar.
-Steroid levels.
Dementia pts will do best when they are exposed to what type of daily activity? -
ANSWER A routine daily plan; reorient.
Regular insulin is considered short acting. Lantus is an example of a long acting
insulin. What type of insulin is NPH? - ANSWER Intermediate acting.
After measuring body fluids that are removed during a procedure the nurse must do
what? - ANSWER Describe and document the amount and type of fluid.
What inhibits synthesis of specific clotting factors in the liver and takes 3-4 days to
exert an anticoagulant effect? - ANSWER Warfarin.
After an abdominal surgery the client will be kept NPO until... - ANSWER the return
of bowel sounds.
Jerry has a wound infection. What S/S do you expect to find on your bedside
assessment? - ANSWER -Elevated temp.
-Purulent drainage.
-Pain and/or edema.
Hemorrhage will have what effect on the urinary system? - ANSWER Decreased
UO- kidneys are shunting all fluids to vital organs.
What are routine early interventions for chest pain? - ANSWER Oxygen, nitro,
morphine (lidocaine last)
