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NUR 265 TEST 3.LATEST QUESTIONS WITH 100% COMPLETE AND CORRECT ANSWERS/A+ GRADE
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NUR 265 TEST 3.LATEST QUESTIONS WITH 100% COMPLETE AND CORRECT ANSWERS/A+ GRADE NUR 265 TEST 3.LATEST QUESTIONS WITH 100% COMPLETE AND CORRECT ANSWERS/A+ GRADE NUR 265 TEST 3.LATEST QUESTIONS WITH 100% COMPLETE AND CORRECT ANSWERS/A+ GRADE

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  • February 27, 2024
  • 31
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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  • nur 265 test 3latest questions

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  • NUR 265
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NUR 265 TEST 3.LATEST QUESTIONS WITH 100% COMPLETE
AND CORRECT ANSWERS/A+ GRADE
What causes Autonomic Dysreflexia

-✔ Stimulation at level of T6 or above



What are some examples of triggers of autonomic dysreflexia

- ✔ restrictive clothing; full bladder/neurogenic bladder; fecal impaction; directive pressure s/a
sitting in the wheel chair



signs and systems of Autonomic Dysreflexia

- ✔ hypertension, flushed face, headaches, JVD, bradycardic, diaphoresis, pale ext below the
level of T6, nausea, dilated pupils, blurred vision, restlessness



What is the purpose of fluid resuscitation for a burn victim

- ✔ maintain vital organ perfusion, reduce edema, minimize effects of fluid shifts, prevent
hypovolemic shock



What IV solution is commonly used to resuscitate a pt with a burn

-✔ Lactated ringers



Chemical burns should be irrigated until

-✔ 20 minutes or the burn sensation continues after the 20 minute marker



what would you use to remove hot tar or asphalt

-✔ citrus petroleum jelly ex; medisol

petroleum jelly

antibiotic ointment

, NUR 265 TEST 3.LATEST QUESTIONS WITH 100% COMPLETE
AND CORRECT ANSWERS/A+ GRADE

what kind of brain injury would you expect if an adult client is positive for Palmer's infant
reflexes

-✔ cortical and premotor cortex damage



what kind of brain injury would you expect if an adult client is positive for plantar infant reflexes

-✔ upper motor neuron lesion



what kind of brain injury would you expect if an adult client is positive for rooting infant reflex –

✔ frontal lobe damage



what kind of brain injury would you expect if an adult client is positive for sucking infant reflex -

✔ Advance dementia; cortical brain damage



what kind of brain injury would you expect if an adult client is positive for glabella (persistent
blinking) infant reflex

-✔ diffuse cortical dysfunction



What is the consensus formula for burns

-✔ 2-4 ml X TBSA X KG



What S&S are expected for a burn client who is receiving the first 8 hours of fluid resuscitation -
✔ Restlessness, anxiety, Hypothermia

, NUR 265 TEST 3.LATEST QUESTIONS WITH 100% COMPLETE
AND CORRECT ANSWERS/A+ GRADE
how much fluid replacement are you going to give the first 8 hours

-✔ 1/2 of the fluid consensus



What do you need to monitor when resuscitating fluids for burn pt to make sure that it is working
- ✔ Urine output



Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning

-✔ 100% O2 with a non-rebreather



How would you treat a circumferential trunk burn that is swelling and why?

-✔ Eschartomies R/T constriction of the chest wall expansion



what are the classification of shock

-✔ Cardiogenic; hypovolemic, neurogenic, and Disruptive



All shock is caused by

-✔ inadequate tissue perfusion



Patho of hypovolemic shock

-✔ Inadequate circulating blood volume S/A burns, hemorrhage, dehydration



Patho for cardiogenic shock

-✔ Inadequate pumping action of the heart S/A MI, CHF, PE

, NUR 265 TEST 3.LATEST QUESTIONS WITH 100% COMPLETE
AND CORRECT ANSWERS/A+ GRADE
What are the 3 subclasses of Distributive shock

-✔ Anaphylactic; Septic; Neurogenic



Patho for neurogenic shock

-✔ interference of the nervous system that controls the blood vessels



Patho for septic shock

-✔ Release of vasoactive substance from the immune system



How much blood loss is required for the patient to be at high risk for hypovolemic shock

-✔ 15-25%, or 1/3 of the body blood, or 5L



clients who experience slow blood loss can

-✔ Tolerate the blood loss better then a client with rapid blood loss



Signs and symptoms of compensatory shock

-✔ hypotension, tachycardia, tachypnea, hypothermia, decrease pulse pressure



During compensatory stage of shock, why would you hear hypoactive bowl sounds and cool and
clammy skin

- ✔ Body shunting blood from skin, kidneys and GI to provide adequate blood volume to the
brain and heart

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