NSG 4100 Practice Study Guide Questions with Distinction level Marking scheme version 2024/2025
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Course
NSG 4100
Institution
NSG 4100
NSG 4100 Practice Study Guide Questions with Distinction level Marking scheme version 2024/2025
How do you prevent complications from Guillain-Barre Syndrome? - correct answer a. Dvts so wear socks during the day to prevent dvts because of their
Immobility from the disease process
B. Turn, c...
NSG 4100 Practice Study Guide Questions with
Distinction level Marking scheme version 2024/2025
How do you prevent complications from Guillain-Barre Syndrome? - correct answer a.
Dvts so wear socks during the day to prevent dvts because of their
Immobility from the disease process
B. Turn, cough, deep breath; incentive spirometer, chest physiotherapy
C. Prevent ileus with IV fluids/ feeds/ TPN (nutrional support)
D. Bilateral ascending weakness with dyskinesia - this is normal
E. Hyporeflexia
F. Paresthesia
G. May rise to resp system → resp failure → intubation
H. Progressive ascending weakness or paralysis may affect respiratory muscles
I. Dx: protein in CSF during a spinal tap
Which of the following lab results would you expect in the client? - correct answer a.
Potassium 5.9 meq/L
B. Don't give spironolactone
After an electrical burn to the face and neck, what are patients at risk for and what is the
Nursing intervention? - correct answer a. At risk for fatal dysrhythmias and should be
on a cardiac monitor because of
How close it is to the heart
B. You will need baseline height, weight, abgs, labs, x-rays, ECG (for electrical)
You are caring for a newly admitted patient in the ED who suffered burns to the upper
Half of their body. HR is increasing, BP is dropping & RR is shallow. (possible
,Hypovolemic shock due to the burns) Which of the following interventions is priority? -
correct answer a. First, assess hemodynamics status and vitals
B. Monitor HR and place them on a telemetry monitor
C. Frequent VS - if BP low, we know to give lots of fluids
D. Administer LR/NS fluids
E. Vasopressors to increase BP
F. Treat underlying causes like trauma, hemorrhage and burns
I. Place patient in modified Trendelenburg (passive leg raising)
G. Frequent vascular checks - hourly for the first 24 hrs
H. Monitor I/Os, insert a foley (pt at risk for kidney hypoperfusion)
I. For a burn patient who has an IV already, next step is to put in a foley
Pt that needs fluid replacement to restore intravascular volume - correct answer a.
Crystalloid infusion isotonic fluids replacements
Electrolytes move freely between intravascular and interstitial space
(LR, NS); assess for fluid overload symptoms
B. Colloids: large-molecule, similar to plasma protein (albumin); assess for
Allergies
A patient had severe burns to his right hand a few days ago. He states that the gauze
feels
Like it's sticking to his skin. What is the next appropriate action? - correct answer a.
Loosen the gauze & apply moistened gauze to the site.
What are the phases of burn care (emergent/resuscitative)? - correct answer -from
onset of injury to completion of fluid resuscitation
-priorities: fluid resuscitation, foley, prevent shock, pulses, assessment
Iii. Primary survey (ABCDE)
Iv. Prevention of shock
V. Prevention of RDS
, Vi. Detection and tx of concomitant injuries
Vii. Wound assessment and initial care
Viii. Cm: tachycardia, tachypnea, hypovolemia, electrolyte issues, increased
Potassium so there will need to be cardiac monitor, edema, hematuria,
Hypothermia, electrolyte imbalances
Acute/intermediate phase of burn care - correct answer i. We need to worry about
restoring and fluid replacement
Ii. From beginning of diuresis to near completion of wound closure
Iii. Wound care and closure
Iv. Prevention and tx of complications including infection
V. Nutritional support
Rehabilitation - correct answer i. From major wound closure to return to individuals
optimal level of
Physical and psychosocial adjustment
Ii. Prevention and tx of scars and contractures, physical occupational and
Vocational rehabilitation, functional and cosmetic reconstruction,
Psychosocial counseling
Emergent burn phase assessments - correct answer primary survey (ABCDE)
Large bore IV/fluids
Stop
Burning process
What is natural debridement? - correct answer the viable tissues gradually liquefy the
fibrils of collagen that holds the
Eschar in place. Collagen is a protein present in skin, tendon, bone,
Cartilage, and connective tissue. Should take between weeks to months to
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