NURBN3030 REVISION QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS

NURBN3030 REVISION QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS Identify THREE assessment findings that would indicate the worsening fluid status of Ms Cook - changes in vital signs - we would imagine any loss of blood volume and therefore preload will result in a decrease in BP and an increase in HR - poor circulating volume may also result in pre-renal impairment - so reduced urine output - poor circulating volume can result in poor peripheral perfusion - ie reduced capillary refill, decreased warmth and colour, decrease pulse pressure at extremities ie weak pedal or radial pulses - poor circulating volume will affect mean arterial pressures and therefore vital perfusion to organs such as brain and heart - so assessment findings may reflect poor oxygenation of these organs ie altered conscious state/confusion or ischaemic ECG changes Ms Cook is at risk of hypovolaemia. Provide TWO reasons as to why this is the case - Ongoing bleeding from the compound fracture of the left femur - Potential for Internal bleeding due to trauma - Significant blood loss at the scene- external bleeding If airway obstruction were present, identify TWO immediate nursing actions to assist in ensuring a patent airway. - Gentle suction being careful not to obstruct the airway - Jaw thrust if required- NO head tilt /chin lift due to spinal precautions What is the most likely cause for a potential airway obstruction in Mr Brown? (1 mark) Foreign object obstructing the airway from facial trauma ie broken teeth List TWO (2) priority nursing assessments you should undertake and a brief rationale for each of them a pain assessment using the PQRST ECG Explain TWO (2) priority nursing interventions that would assist Mr Stevens with his symptoms. - positioning patient in semi-fowlers position to maximise lung expansion and better gas exchange to improve oxygenation - applying oxygen to achieve sa02 94% to decrease risk for cardiac ischaemia - rest and reassurance to decrease cardiac workload - administration of prescribed medications for ischaemic pain such as GTN - call for help - escalate care to more senior nurse or doctor to review ECG A burn where both the epidermis and inner dermis are destroyed is termed a full-thickness burn The first step in setting up an integrated Chest drainage Unit (CDU) is to: fill the water-seal chamber to the level specified by the manufacturer Which statement regarding tension pneumothorax is correct? it's a life threatening emergency In adults normal cardiac output is 4-8 l/min and a normal stroke volume is 40-60 mls. true or false false Which cells have a unique morphology that helps create the blood brain barrier by relaying nutrients through the neuronal network and facilitating the reuptake of neurotransmitters? astrocytes A nephron is composed of: glomerulus and a tubule In Australia more than 25,500 persons are treated with traumatic brain injury (TBI), the percentage that dies is approximately: 22% The first urinalysis undertaken on a patient's urine sample indicted