RN 402 Final

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6 Categories 36 Questions

Which of the following is true about the rule of nines in a burn patient? These two factors determine the severity of a burn injury

Sharise Calhoun

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Category 1

Which of the following is true about the rule of nines in a burn patient?

These two factors determine the severity of a burn injury

What are the temperature and duration?

This intervention can help prevent contractures in a burn patient

What is performing passive range of motion exercises? What is splinting? What is early mobilization?

This assessment tool is commonly used to evaluate the level of consciousness in a neurologically impaired patient

Glasgow Coma Scale

In a patient suffering from a deep frostbite injury, this shot should be given prophylactically

Tetanus shot

A patient arrives in the emergency room, and it is suspected that he has meningitis. This is the first action the nurse should take.

What is Initiate isolation precautions

Category 2

Name the type of posturing

What is decerebrate

Name the type of posturing

What is decorticate?

Name this tool

What is the Glasgow Coma Scale?

This is a depiction of what disease progression?

What is pulmonary edema/ ARDS

Name this set up used for hemodynamic monitoring

What is an arterial line?

Name the catheter

What is a pulmonary artery catheter or Swan Ganz or right heart catheter

Category 3

This peptide increases as the heart attempts to counteract fluid retention in acute heart failure by promoting natriuresis

What is BNP or brain natriuretic peptide?

This side of the heart (right or left?) in heart failure is suspected when a client reports a chronic nonproductive cough due to fluid backing up into the lungs

What is left-sided heart failure?

This is where a Swan-Ganz catheter is typically placed

What is the pulmonary artery?

By inserting a catheter into the pulmonary artery, you can take this measurement

What is a wedge pressure measurement

Nausea, vomiting, and anorexia, as well as blurred or yellow vision may be signs of toxicity in this medication used to treat heart failure

What is dogoxin?

This medical device, used to support ventilation provides two different pressure settings for inhalation and exhalation

What is a BiPAP machine?

Category 4

When assessing for adequate circulation prior to inserting an arterial line, the nurse should perform this action

What is an Allen Test?

This method is used as a final confirmation of the proper placement of an ET tube

What is a chest x-ray?

In a trach, a cap with a one-way valve enables the patient to do this

What is enabling speech and improving communication?

This can result as a consequence of a deflated cuff in a tracheostomy

What is increased risk of aspiration?

This is the method used to infuse continuous flush on an arterial line

What is using a pressure bag?

This action should always be done first before placing a cap on a tracheostomy tube with an inflated cuff

What is - deflate the cuff before placing the cap on the trach

Category 5

Clients with Guillain-Barré syndrome are at a risk for this type of shock because the disorder can damage autonomic nerves and impair sympathetic tone

What is neurogenic shock?

In a patient who is experiencing anaphylactic shock, this medication should be administered first

What is epinephrine?

Which of the following is a risk factor for postpartum hemorrhage that can lead to shock

This structure serves as a key landmark that must be identified before advancing an endotracheal tube

What are the vocal cords?

Which finding indicates that the client may be developing hypovolemic shock

Cardiac tamponade, tension pneumothorax, and massive pulmonary embolism can all trigger this form of shock by preventing adequate cardiac filling.

What is obstructive shock?

Category 6

This is the agency that must be notified when a case of bacterial meningitis is identified

What is the Centers for Disease Control?

This type of neurological posturing is characterized by rigid extension of the arms and legs, and indicates dysfunction of the brain stem

What is decerebrate posturing?

These diagnostics should be done immediately if meningitis is suspected

What are blood cultures and CT scan?

Which of the following statements about viral meningitis is true

When compression of the brain stem occurs, this is a result

What is respiratory arrest? (Due to compression of the respiratory control in the medulla)

This is a neurologic emergency characterized by bradycardia, decreased respirations, and hypertension

What is Cushing's triad?

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