Nurse 4705 EXAM FINAL ALL COMPLETE 350
QUESTIONS AND CORRECT VERIFIED ANS WERS
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Question: A patient is admitted unconscious to the emergency department by his family, who
brought an empty container of Elavil found near the patient. A large oral-gastric tube is inserted
and the nurse prepares to administer?
a. cathartics.
b. syrup of ipecac.
c. a gastric lavage.
d. activated charcoal. - ANSWER✔✔*d. activated charcoal.*
Question: *For the following ingested poisons, identify all those for which gastric lavage may
be considered.*
a. Aspirin
b. Lorazepam (Ativan)
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c. Iron supplements
d. Bleach
e. Acetaminophen (Tylenol)
f. Drain cleaner - ANSWER✔✔*a. Aspirin*
*b. Lorazepam (Ativan)*
*c. Iron supplements*
*d. Bleach*
Patients who ingest caustic agents , co-ingest sharp objects or ingest non-toxic substances
should not receive lavage
Question: Match the heat-related emergencies with their characteristics (answers may be used
more than once).
a. Rectal temperature of 99.6°-104° F (37.5°-40° C)
b. Treated with rapid cooling methods
c. Related to salt deficiency following heavy work
without adequate fluids
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d. High risk of mortality and morbidity
e. Volume and electrolyte depletion
f. Elevated core temperature without sweating
g. Oxygen administration necessary
h. Causes mild confusion, headache, and dilation of pupils
i. Extremity swelling is only symptom
1. Heat edema 2. Heat cramps 3. Heat exhaustion 4. Heat stroke - ANSWER✔✔A-Heat
Exhaustion
B-Heat stroke
C-Heat cramps
D-Heat stroke
E-Heat exhaustion
F-Heat Stroke
G-Heat Stroke
H-Heat Exhaustion
I-Heat edema
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Question: An elderly man arrives in triage disoriented and tachypneic. His skin is hot and dry.
His wife states that he was fine earlier today. The nurse's next priority would be to?
a.obtain a detailed medical history from his wife.
b.assess his vital signs, including a rectal temperature.
c.determine the kind of insurance he has before treating him.
d.start supplemental oxygen and have the ED physician see him. - ANSWER✔✔b.assess his vital
signs, including a rectal temperature.
*After the primary survey, the triage nurse should obtain a full set of vital signs, including
temperature. Core body temperature can be obtained rectally. Clinical manifestations of
heatstroke include hot, dry skin; altered mental status (ranging from confusion to coma);
hypotension; tachycardia; weakness, and a temperature higher than 104° F (40° C).*
Reference: 1769
Question: Which patient should be triaged first and proceed to definitive care?
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