Exam (elaborations)
N304 Final questions with correct answers
- Course
- Nurs 304
- Institution
- Maryville University Of St. Louis
N304 Final questions with correct answers
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N304 Final questions with correct answersSplenomegaly, anemia and coagulation disorders are clinical
manifestations of cirrhosis from which body system? Correct Answer-
Hematologic
When Lactulose 30mL QID is ordered for your patient with advanced
cirrhosis, they complain that it causes diarrhea. You explain that it is still
important they continue taking it because it will have which of the
following effects? Correct Answer-Improve nervous system function
What is the most life threatening complication of cirrhosis? Correct
Answer-Bleeding esophageal varices (80% of GI bleeds)
What is the cause of hepatic encephalopathy in patients with liver
cirrhosis? Correct Answer-Systemic ammonia
What are the dietary considerations for a patient with cirrhosis? Correct
Answer-High carbohydrate
moderate/low fat
Maybe protein restriction.
Why would a cirrhosis patient be on sodium restriction? Correct
Answer-To aid management of ascites
,What are some mechanisms and factors that lead to the development of
ascites seen in liver cirrhosis Correct Answer-Increased flow of hepatic
lymph
Impaired water excretion
Hyperaldosteronism
Decreased serum colloidal oncotic pressure
Portal hypertension
Pressure garments for burns patients are worn for how long in the
rehabilitation phase Correct Answer-Worn for 12-18 months for
23hours/day
If a patient's deep partial-thickness burns are treated with the open
method, the nurse should wear what PPE when caring for the patient?
Correct Answer-Wear a cap, mask, gown, and sterile gloves.
Which mechanisms of burn injury causes protein liquefaction producing
a soupy wound that allows for continued tissue damage into deeper
structures? Correct Answer-Alkali burns
,Describe the parkland burns formula Correct Answer-The Parkland
formula is used for the total fluid requirement in the 1st 24 hours of burn
care and is as follows:
Total body surface area(TBSA)
4ml x (TBSA) (%) x body weight (kg)
1st - 50% of fluid is given in first eight hours
2nd - 50% of fluid is given in next 16 hours.
A patient with severe burns has fluid replacement ordered using the
Parkland formula. The initial rate of administration is 1050 mL/hour.
What should the nurse expect the rate of fluid administration to be 18
hours after the burn occurred? Correct Answer-525ml/hr
Fluid resuscitation should be calculated for adult patients with how
much total body surface area burned? Correct Answer-15 percent
The process of transplanting skin from one part of the patient's body to
fill in another part that has been injured is known as? Correct Answer-
Autografting (permanent)
, A patient has a 20% TBSA deep partial thickness and full thickness burn
to the right anterior chest and entire right arm. It is most important that
the nurse assess the patient for? Correct Answer-Pulses in the arm
Which term best describes a burn that involves the epidermis and deep
layer of the dermis and has sluggish capillary refill? Correct Answer-
Deep partial thickness burn
Describe the Brooke (modified) burns formula Correct Answer-The
Brooke (modified) formula is used for the total fluid requirement in the
1st 24 hours of burn care and is as follows:
2ml x (TBSA) (%) x body weight (kg)
1st - 50% of fluid is given in first eight hours
2nd - 50% of fluid is given in next 16 hours.
Define and describe the burns rule of nines Correct Answer-It is a way
to quickly estimate the extent of burn injuries by dividing the body's
surface area into percentages. (Most commonly used)
Head and neck = 9%
Chest front & back = 18 or 9% each side
Abdomen Front & Back = 18% or 9% each side
Arms = 9% each
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