Nursing 2500 test 2 Questions With Passed Solutions!!
1. The nurse caring for a patient in the
urine output. Due to fluid shift
shock phase after a full thickness
during emergent phase, urine
burn injury will likely find the
output is de- creased and urine is
patient with a decreased ...
concentrated and has a high specific
gravity. Output should be
maintained at 30-50 mL/hour. This
maintenance goal helps determine
the amount of I V fluids needed.
2. When any type of transfusion STOP the transfusion. Any type of
reaction oc-
transfu-
curs, the nurse's FIRST action should be to... sion reaction can be life
threatening. The
blood should be stopped
immediately if a change in status is
noted and an IV line by should be
kept open by I V piggyback normal
saline directly into the I V line. Thy
physician should be notified, signs
and symptoms should be
observed.
3. Normal Central Venous Pressure 2-8. This question didn't make sense
ranges from - mm Hg on Kaplan. Correct this range if it's
wrong
4. The nurse identifies which group of
symp-
Kidney pain, hematuria, cyanosis. These
toms is indicative of a hemolytic transfusion are characteristic of hymolysis
which is
reaction? the back. The best
nursing action is
5. The nurse determines a patient has a to ...
deep partial thickness burn injury of
, Nursing 2500 test 2 Questions With Passed Solutions!!
6. The nurse assesses a patient who destruction of blood cells.
has sus- tained a burn injury. The
burn area is blis- tered and painful. Gently clean and leave the area alone
Which classification de- scribes the
burned area?
Deep partial thickness. These burns ar
characterized by red coloring, moderate
present edema, painful sensations and
blistering present with no eschar
, Nursing 2500 test 2 Questions With Passed Solutions!!
7. Which laboratory finding should the use of diuretics
nurse expect if a client is
diagnosed with a fluid volume
deficit
8. The nurse knows that medication is
best absorbed by a patient with a
major burn injury through which
route?
9. The emergency department nurse
knows the most frequent cause of
tetany is ...
10. The nurse identifies nasogastric
drainage, vomiting, diarrhea and the
, Nursing 2500 test 2 Questions With Passed Solutions!!
Specific gravity of 1.034. Specific gravity greater than 1.030 muscle twitching, sharp flexion of
indicates fluid volume deficit. Other symptoms include increased ankle and wrist joints, possible
temperature, rapid weak pulse, poor skin turgor, dry eye sockets, respiratory stridor. Calcium related
dry mouth ad mu- cous membranes. Nursing considerations tetany is treated with I V calcium or
would be to push fluids, provide isotonic IV fluids, daily calcium glu- conate. If needed, use
weights D5W to dilute, be- cause normal
saline will promote calci- um loss.
I V. Fluid shift during emergent post burn phase causes Basic hypocalcemia that has not
limited absorption from subcutaneous and intramuscular reached the point of tetany can be
spaces. Medication should be administered prior to painful treated with calcium supplements.
procedures. The environment should be kept warm to
prevent shivering Hypokalemia. These all involve the
loss of extracellular fluid which is
Hypocalcemia. this is a condition of con- vulsions, cramps, high in potas-
will likely cause what electrolyte imbalance? sium
11. The nurse cares for a patient An episode of ventricular fibrillation.
diagnosed with a fractured right hip. Nor- mal potassium is 3.5-5.0;
The patient's lab severe hyper-
1. The nurse caring for a patient in the
urine output. Due to fluid shift
shock phase after a full thickness
during emergent phase, urine
burn injury will likely find the
output is de- creased and urine is
patient with a decreased ...
concentrated and has a high specific
gravity. Output should be
maintained at 30-50 mL/hour. This
maintenance goal helps determine
the amount of I V fluids needed.
2. When any type of transfusion STOP the transfusion. Any type of
reaction oc-
transfu-
curs, the nurse's FIRST action should be to... sion reaction can be life
threatening. The
blood should be stopped
immediately if a change in status is
noted and an IV line by should be
kept open by I V piggyback normal
saline directly into the I V line. Thy
physician should be notified, signs
and symptoms should be
observed.
3. Normal Central Venous Pressure 2-8. This question didn't make sense
ranges from - mm Hg on Kaplan. Correct this range if it's
wrong
4. The nurse identifies which group of
symp-
Kidney pain, hematuria, cyanosis. These
toms is indicative of a hemolytic transfusion are characteristic of hymolysis
which is
reaction? the back. The best
nursing action is
5. The nurse determines a patient has a to ...
deep partial thickness burn injury of
, Nursing 2500 test 2 Questions With Passed Solutions!!
6. The nurse assesses a patient who destruction of blood cells.
has sus- tained a burn injury. The
burn area is blis- tered and painful. Gently clean and leave the area alone
Which classification de- scribes the
burned area?
Deep partial thickness. These burns ar
characterized by red coloring, moderate
present edema, painful sensations and
blistering present with no eschar
, Nursing 2500 test 2 Questions With Passed Solutions!!
7. Which laboratory finding should the use of diuretics
nurse expect if a client is
diagnosed with a fluid volume
deficit
8. The nurse knows that medication is
best absorbed by a patient with a
major burn injury through which
route?
9. The emergency department nurse
knows the most frequent cause of
tetany is ...
10. The nurse identifies nasogastric
drainage, vomiting, diarrhea and the
, Nursing 2500 test 2 Questions With Passed Solutions!!
Specific gravity of 1.034. Specific gravity greater than 1.030 muscle twitching, sharp flexion of
indicates fluid volume deficit. Other symptoms include increased ankle and wrist joints, possible
temperature, rapid weak pulse, poor skin turgor, dry eye sockets, respiratory stridor. Calcium related
dry mouth ad mu- cous membranes. Nursing considerations tetany is treated with I V calcium or
would be to push fluids, provide isotonic IV fluids, daily calcium glu- conate. If needed, use
weights D5W to dilute, be- cause normal
saline will promote calci- um loss.
I V. Fluid shift during emergent post burn phase causes Basic hypocalcemia that has not
limited absorption from subcutaneous and intramuscular reached the point of tetany can be
spaces. Medication should be administered prior to painful treated with calcium supplements.
procedures. The environment should be kept warm to
prevent shivering Hypokalemia. These all involve the
loss of extracellular fluid which is
Hypocalcemia. this is a condition of con- vulsions, cramps, high in potas-
will likely cause what electrolyte imbalance? sium
11. The nurse cares for a patient An episode of ventricular fibrillation.
diagnosed with a fractured right hip. Nor- mal potassium is 3.5-5.0;
The patient's lab severe hyper-
