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NUR 265 TEST 3 questions fully solved & updated .
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NUR 265 TEST 3 questions fully solved & updated .
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NUR 265 TEST 3 questions fullysolved & updated 2024-2025
What causes Autonomic Dysreflexia - answer Stimulation at level of
T6 or above
What are some examples of triggers of autonomic dysreflexia -
answer restrictive clothing; full bladder/neurogenic bladder; fecal
impaction; directive pressure s/a sitting in the wheel chair
signs and systems of Autonomic Dysreflexia - answer 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 - answer
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 -
answer Lactated ringers
Chemical burns should be irrigated until - answer 20 minutes or the
burn sensation continues after the 20 minute marker
what would you use to remove hot tar or asphalt - answer citrus
petroleum jelly ex; medisol
petroleum jelly
antibiotic ointment
,what kind of brain injury would you expect if an adult client is
positive for Palmer's infant reflexes - answer cortical and premotor
cortex damage
what kind of brain injury would you expect if an adult client is
positive for plantar infant reflexes - answer upper motor neuron
lesion
what kind of brain injury would you expect if an adult client is
positive for rooting infant reflex - answer frontal lobe damage
what kind of brain injury would you expect if an adult client is
positive for sucking infant reflex - answer 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 - answer
diffuse cortical dysfunction
What is the consensus formula for burns - answer 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 - answer Restlessness, anxiety,
Hypothermia
how much fluid replacement are you going to give the first 8 hours -
answer 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 - answer Urine output
, Besides a hyperbaric chamber how would you admin o2 to a client
with CO poisoning - answer 100% O2 with a non-rebreather
How would you treat a circumferential trunk burn that is swelling
and why? - answer Eschartomies R/T constriction of the chest wall
expansion
what are the classification of shock - answer Cardiogenic;
hypovolemic, neurogenic, and Disruptive
All shock is caused by - answer inadequate tissue perfusion
Patho of hypovolemic shock - answer Inadequate circulating blood
volume S/A burns, hemorrhage, dehydration
Patho for cardiogenic shock - answer Inadequate pumping action of
the heart S/A MI, CHF, PE
What are the 3 subclasses of Distributive shock - answer
Anaphylactic; Septic; Neurogenic
Patho for neurogenic shock - answer interference of the nervous
system that controls the blood vessels
Patho for septic shock - answer 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 - answer 15-25%, or 1/3 of the body blood, or 5L
clients who experience slow blood loss can - answer Tolerate the
blood loss better then a client with rapid blood loss
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