NSG 2 33 HESI FINAL EXAM TEST BANK LATEST 2023 -2024 ACTUAL EXAM 120 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ . ETT- assess - ANSWER -monitoring the patient's oxygenation and ventilation, assessing the position of the ETT to ensure it is in the proper place, and checking for any complications such as air leaks or dislodgment Burns - electrical? What can it cause? - ANSWER -Electrical burns are a type of burn injury caused by electrical current passing through the body.These burns can cause damage to the skin, muscle, and organs, and can be life -threatening Burns - electrical tx? - ANSWER -removing the source of electricity, assessing and managing any associated injuries, and providing wound care. Patients may require surgery, skin grafting, or amputation depending on the severity of the injury How to calculate burns fluid replacement? - ANSWER -The percentage of the body surface area affected by the burn must be calculated to determine fluid replacement needs. What is burns fluid replacement calculated as? When is it adminstered? - ANSWER -4 mL/kg/%TBSA burned for the first 24 hours, with half of the calculated volume administered in the first 8 hours What should burns fluid replacement be based on? - ANSWER -patient's electrolyte status, comorbidities, and other factors. Urine output and electrolyte levels should be monitored closely to prevent fluid overload and electrolyte imbalancesWhat when does Near drowning occur - ANSWER -person survives a suffocating event in water immediate priority is to assess in near drowning? - ANSWER -airway, breathing, and circulation to identify any immediate threats to life What does Resuscitation in near drowning involve? - ANSWER -artificial ventilation, oxygenation, and cardiac support. What is common in near drowning? What to monitor? - ANSWER -Hypothermia is common and should be treated promptly. potential complications, such as acute respiratory distress syndrome, cerebral edema, and electrolyte imbalances Ileal conduit - postop complications - ANSWER -infection, bleeding, stoma prolapse, and mechanical obstruction leal conduit - postop patient education? - ANSWER -stoma care, including how to keep the area clean and dry, how to apply and remove the external pouch, and how to monitor for signs of infection or other complications Auto dysreflexia - S& - ANSWER -severe headache, hypertension, bradycardia, diaphoresis, and flushing of the skin above the level of injury. Other symptoms may include nausea, vomiting, anxiety, and blurred vision Gastric bypass - MODS - ANSWER -Gastric bypass can lead to MODS in rare cases due to surgical complications or infections Shock - septic? What is the treatment? - ANSWER -shock occurs when an infection in the body leads to a widespread inflammatory response, which can cause shock and organ failure. tx Involves antibiotics and supportive care, such as fluids and medications to support blood pressure AIDS - gas exchange - ANSWER -AIDS can affect gas exchange in several ways, such as by causing infections in the lungs or by affecting the immune system's ability to fight off respiratory infections What should you assess in SCI & Why? - ANSWER -patient's breathing pattern and the strength of the cough are assessed, and the lungs are auscultated, because paralysis of the diaphragm Why may reduced excursion of the chest result? - ANSWER -in addition to abdominal and respiratory muscles, diminishes coughing and makes clearing of bronchial and pharyngeal secretions difficult What is the patient closely monitored for in SCI - ANSWER -any changes in motor or sensory function and for symptoms of progressive neurologic damage. Why is the patient assessed for spinal shock? - ANSWER -a complete loss of all reflex, motor, sensory, and autonomic activity below the level of the lesion that causes bladder paralysis and distention. Why is the abdomen palpated in SCI - ANSWER -for signs of urinary retention and overdistention of the bladder Why do we monitor temperature in SCI? & What is it due to? - ANSWER -because the patient may have periods of hyperthermia as a result of altered temperature control, which is due to the inability to perspire related to autonomic disruption
