NURS 241- Exam 3 Questions With
Correct Answers
what is treatment for burn pt. with metabolic acidosis?
| | | | | | | |
respiratory acidosis? - CORRECT ANSWER✔✔-metabolic- correct fluids; in some
| | | | | | | | |
cases, give bicarbonate
| |
respiratory- O2- high flow, non rebreather- we DO NOT use bicarb to correct
| | | | | | | | | | | | |
respiratory
________ acidosis can occur with inhalation burns and the extreme version of
| | | | | | | | | | | |
ARDS
is it more or less life threatening than MA? - CORRECT ANSWER✔✔-respiratory
| | | | | | | | | | | |
acidosis- primarily occurs with inhalation burns
| | | | |
more life threatening than MA
| | | |
cellular hypoxia also causes a loss of _______, which worsens acidosis
| | | | | | | | | |
_______ acidosis can also occur with sepsis, a common complication of burns due
| | | | | | | | | | | |
to the lactic acidosis occurring
| | | | |
are adults or children more susceptible to MA? - CORRECT ANSWER✔✔-
| | | | | | | | | |
bicarbonate
metabolic acidosis |
children are more susceptible to MA
| | | | |
T/F both, metabolic and respiratory acidosis can occur with burns
| | | | | | | | |
_______ acidosis in burns results from too much acid and not enough base
| | | | | | | | | | | |
,what stage of burns does metabolic acidosis most likely occur?
| | | | | | | | |
what can also cause MA? - CORRECT ANSWER✔✔-TRUE
| | | | | | |
TRUE
most likely occurs during the emergent stage, when fluid shifts occur causing
| | | | | | | | | | | |
hyperkalemia and hypovolemia | |
can also be caused by cellular hypoxia- part of cellular hypoxia is due to
| | | | | | | | | | | | | |
hypovolemia, also kidney and liver damage- kidney damage causes
| | | | | | | | |
hyperchloremic acidosis, or low bicarb acidosis | | | | |
what is COHb used for? - CORRECT ANSWER✔✔-used to detect carbon monoxide
| | | | | | | | | | |
poisoning. the test measures a combo of carbon monoxide and Hg. high= BAD;
| | | | | | | | | | | | | |
this would be a test to evaluate inhalation burns or any fire smoke. tx= high
| | | | | | | | | | | | | | |
concentrations of O2 | |
what two labs do we want to draw from firefighters? - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
anion gap |
COHb
both are high=BAD, low= GOOD
| | | |
with burns, anion gap will ______, also with metabolic acidosis
| | | | | | | | |
what can anion gap show? - CORRECT ANSWER✔✔-increase with burns= BAD
| | | | | | | | | |
anion gap can help show causes of metabolic acidosis. when bicarb dec. anion
| | | | | | | | | | | | |
gap inc. With kidney causes, higher anion gap is expected. you have a dec. anion
| | | | | | | | | | | | | | |
gap with hypoproteinemia
| |
,what are the normal ABG values...
| | | | |
pH=?
pCO2=?
CO2=?
HCO3=?
SaO2=?
Anion Gap=? |
COHb=? - CORRECT ANSWER✔✔-pH= 7.35-7.45
| | | |
pCO2= 35-45 |
CO2= 20-30
|
HCO3= 22-28 |
SaO2= 95-100 |
Anion Gap= 12-16
| |
COHb= <3% for non smoker; <12% for smoker
| | | | | | |
who published a manual on how healthcare workers should interview human
| | | | | | | | | | |
trafficking victims? - CORRECT ANSWER✔✔-The World Health Organization
| | | | | | |
nirtofurazone (furacin) |
description?
advantages vs disadvantages? | |
nursing considerations? - CORRECT ANSWER✔✔-topical agent
| | | | |
description- cream, ointment or foam; wide-spectrum antibiotic; used to tx burns
| | | | | | | | | | |
that are infected
| |
, advantages vs disadvantages- painless and does not cause breakdown of the skin;
| | | | | | | | | | |
can cause renal problems; messy to apply
| | | | | | |
nursing considerations- monitor BUN and Cr- assess for allergic rxn
| | | | | | | | |
what are some examples of vulnerable populations? - CORRECT ANSWER✔✔-
| | | | | | | | |
elder abuse, domestic/intimate violence- males and females, human trafficking,
| | | | | | | | |
child abuse, incarcerated clients, homeless, transgendered, religious persecution
| | | | | | |
what are associated concepts with domestic violence? - CORRECT ANSWER✔✔-
| | | | | | | | |
anxiety, depression, stress, mood/affect, coping, pain (physical and mental)
| | | | | | | |
1 in ____ women experience intimate partner violence
| | | | | | |
1 in ____ men experience intimate partner violence
| | | | | | |
what types of abuse can it be?
| | | | | |
1 in ______ women and 1 in ______ men say they have been stalked
| | | | | | | | | | | | |
women between ____-_____ are the most likely victims of abuse
| | | | | | | | |
only ____% of domestic violence victims get help - CORRECT ANSWER✔✔-1 in 4
| | | | | | | | | | | | |
women
1 in 9 men
| | |
can include sexual, physical, emotional, financial
| | | | |
1 in 7 women and 1 in 18 men say they have been stalked- can include cyber
| | | | | | | | | | | | | | | | |
stalking
women between 18-24 are the most likely victims of abuse
| | | | | | | | |
34% get help| |
Correct Answers
what is treatment for burn pt. with metabolic acidosis?
| | | | | | | |
respiratory acidosis? - CORRECT ANSWER✔✔-metabolic- correct fluids; in some
| | | | | | | | |
cases, give bicarbonate
| |
respiratory- O2- high flow, non rebreather- we DO NOT use bicarb to correct
| | | | | | | | | | | | |
respiratory
________ acidosis can occur with inhalation burns and the extreme version of
| | | | | | | | | | | |
ARDS
is it more or less life threatening than MA? - CORRECT ANSWER✔✔-respiratory
| | | | | | | | | | | |
acidosis- primarily occurs with inhalation burns
| | | | |
more life threatening than MA
| | | |
cellular hypoxia also causes a loss of _______, which worsens acidosis
| | | | | | | | | |
_______ acidosis can also occur with sepsis, a common complication of burns due
| | | | | | | | | | | |
to the lactic acidosis occurring
| | | | |
are adults or children more susceptible to MA? - CORRECT ANSWER✔✔-
| | | | | | | | | |
bicarbonate
metabolic acidosis |
children are more susceptible to MA
| | | | |
T/F both, metabolic and respiratory acidosis can occur with burns
| | | | | | | | |
_______ acidosis in burns results from too much acid and not enough base
| | | | | | | | | | | |
,what stage of burns does metabolic acidosis most likely occur?
| | | | | | | | |
what can also cause MA? - CORRECT ANSWER✔✔-TRUE
| | | | | | |
TRUE
most likely occurs during the emergent stage, when fluid shifts occur causing
| | | | | | | | | | | |
hyperkalemia and hypovolemia | |
can also be caused by cellular hypoxia- part of cellular hypoxia is due to
| | | | | | | | | | | | | |
hypovolemia, also kidney and liver damage- kidney damage causes
| | | | | | | | |
hyperchloremic acidosis, or low bicarb acidosis | | | | |
what is COHb used for? - CORRECT ANSWER✔✔-used to detect carbon monoxide
| | | | | | | | | | |
poisoning. the test measures a combo of carbon monoxide and Hg. high= BAD;
| | | | | | | | | | | | | |
this would be a test to evaluate inhalation burns or any fire smoke. tx= high
| | | | | | | | | | | | | | |
concentrations of O2 | |
what two labs do we want to draw from firefighters? - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
anion gap |
COHb
both are high=BAD, low= GOOD
| | | |
with burns, anion gap will ______, also with metabolic acidosis
| | | | | | | | |
what can anion gap show? - CORRECT ANSWER✔✔-increase with burns= BAD
| | | | | | | | | |
anion gap can help show causes of metabolic acidosis. when bicarb dec. anion
| | | | | | | | | | | | |
gap inc. With kidney causes, higher anion gap is expected. you have a dec. anion
| | | | | | | | | | | | | | |
gap with hypoproteinemia
| |
,what are the normal ABG values...
| | | | |
pH=?
pCO2=?
CO2=?
HCO3=?
SaO2=?
Anion Gap=? |
COHb=? - CORRECT ANSWER✔✔-pH= 7.35-7.45
| | | |
pCO2= 35-45 |
CO2= 20-30
|
HCO3= 22-28 |
SaO2= 95-100 |
Anion Gap= 12-16
| |
COHb= <3% for non smoker; <12% for smoker
| | | | | | |
who published a manual on how healthcare workers should interview human
| | | | | | | | | | |
trafficking victims? - CORRECT ANSWER✔✔-The World Health Organization
| | | | | | |
nirtofurazone (furacin) |
description?
advantages vs disadvantages? | |
nursing considerations? - CORRECT ANSWER✔✔-topical agent
| | | | |
description- cream, ointment or foam; wide-spectrum antibiotic; used to tx burns
| | | | | | | | | | |
that are infected
| |
, advantages vs disadvantages- painless and does not cause breakdown of the skin;
| | | | | | | | | | |
can cause renal problems; messy to apply
| | | | | | |
nursing considerations- monitor BUN and Cr- assess for allergic rxn
| | | | | | | | |
what are some examples of vulnerable populations? - CORRECT ANSWER✔✔-
| | | | | | | | |
elder abuse, domestic/intimate violence- males and females, human trafficking,
| | | | | | | | |
child abuse, incarcerated clients, homeless, transgendered, religious persecution
| | | | | | |
what are associated concepts with domestic violence? - CORRECT ANSWER✔✔-
| | | | | | | | |
anxiety, depression, stress, mood/affect, coping, pain (physical and mental)
| | | | | | | |
1 in ____ women experience intimate partner violence
| | | | | | |
1 in ____ men experience intimate partner violence
| | | | | | |
what types of abuse can it be?
| | | | | |
1 in ______ women and 1 in ______ men say they have been stalked
| | | | | | | | | | | | |
women between ____-_____ are the most likely victims of abuse
| | | | | | | | |
only ____% of domestic violence victims get help - CORRECT ANSWER✔✔-1 in 4
| | | | | | | | | | | | |
women
1 in 9 men
| | |
can include sexual, physical, emotional, financial
| | | | |
1 in 7 women and 1 in 18 men say they have been stalked- can include cyber
| | | | | | | | | | | | | | | | |
stalking
women between 18-24 are the most likely victims of abuse
| | | | | | | | |
34% get help| |
