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NUR 2755 / NUR2755 Exam 3: Multidimensional Care IV / MDC 4 Exam 3 Review (2021/2022) Rasmussen
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NUR2755 Multidimensional Care IV / MDC 4 Exam 3 Review
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MDC 4 Exam 31. What are the treatments for frost bite in the emergency department?
- Warm saline, immerse hands and feet in warm water but don’t let the tissue touch the
sides of the bucket. elevate the affected limbs, have them rub their hands together.
2. What is the priority treatment for a patient with heat stroke?
- Get them out of the heat and sun, wet their clothing, get them into shade. KEEP NPO
because they are an aspiration risk. head exhausted patients can have oral fluids, heat
STROKE cannot
3. If a patient with heat stroke starts shivering, why is this bad?
- Shivering can raise temperature more. Give them meds to not shiver (benzos)
4. What can UAP do for a patient with increased temperature?
- strip them down/ remove clothing
5. What does second degree frostbite look like?
- blisters with milky fluid
6. What are the signs and symptoms of a patient with heat stroke?
- tachycardia, irregular pulse pattern, visual disturbances, decreased urine output`
7. A patient is being for treated for hypothermia and is on a heart monitor. What is the
reason the patient could have arrhythmias?
- lactic acid shunted
,8. A patient has sustained blunt trauma to the chest. What is a sign that the patient has a
pneumothorax?
- diminished breath sounds
9. What can cause a low pressure alarm on a ventilator?
- the vent came disconnected. Ventilate the patient manually with a bag
10. Signs and symptoms of a broken rib?
- pain on inspiration
11. Ventilator sounds a high pressure alarm. There is absence of breath sounds on the right
lower lobe of the lung. What possible happened?
- pneumothorax caused by the vent popping the lung
12. What is the earliest sign of respiratory distress?
- increased respiration
13. What is the most common symptom of a patient with a pulmonary embolism?
- sudden chest pain
14. To assess patient that is unconscious for pain sensation, what should the nurse do?
- apply pressure to the nail bed
15. A patient has a head injury and is arousable. What can the patient do to help themselves
reduce Increased intracranial pressure?
, - exhale during repositioning
16. Characteristics of cerebral spinal fluid and what tests are there?
- Put drop of fluid on a square of paper and look for the clearish yellow halo. Check for
glucose in the fluid
17. How can we prevent autonomic dysreflexia?
- routine bowel and bladder schedule
18. When evaluating a patient for spinal cord injury, what would indicate shock?
- flaccid paralysis
19. What to do if a patient has a seizure?
- Clear the room of dangers, loosen tight clothing, protect the head, never put anything
in the mouth or restrain the patient
20. Hemianopia
- blindness in one-half of the visual field. Approach patient from affected side, scanning
back and forth
21. Patient teaching about medications for myasthenia gravis
- continue taking meds to maintain blood levels
22. How should we teach a patient with parkinson's w/ bradykinesia about getting out of a
chair?
- Rock back and forth and use momentum to get up
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