NUR2755 / NUR 2755 FINAL EXAM (Latest 2021 / 2022): Multidimensional Care IV / MDC 4 - Rasmussen

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NUR2755 / NUR 2755 FINAL EXAM (Latest 2021 / 2022): Multidimensional Care IV / MDC 4 - Rasmussen NUR2755 / NUR 2755 FINAL EXAM (Latest 2021 / 2022): Multidimensional Care IV / MDC 4 - Rasmussen... written by quiz_bit www.stuvia.com Downloaded by: helena_zavala | [email protected] Distribution of this document is illegal This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 07:56:27 GMT -05:00 https://www.coursehero.com/file/106217904/Stuvia-986343-nur2755-nur-2755-final-exam-latest-2021-2022-multidimensional-care-iv-mdc-4-rasmussen-/NUR 2755 Multidimensional Care IV MDC4 FINAL EXAM what are the treatments for frostbite in the ED? - Warm saline, immerse hands/feet in warm water, elevate affected limbs, have them rub their hands together Priority treatment for pt with a heat stroke - Move them out of the sun, into shade First priority assessment - Airway Process called for sorting patients - Triage Pt with a heat stroke starts to shiver. Why is this this bad? - Raises their temp.; give them meds Pt has an increased temp., what will we tell the UAP to do? - Strip them down/remove clothing 2nd degree frost bite looks like? - Milky fluid, red w/ blisters Stuvia.com - The Marketplace to Buy and Sell your Study Material Downloaded by: helena_zavala | [email protected] Distribution of this document is illegal This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 07:56:27 GMT -05:00 https://www.coursehero.com/file/106217904/Stuvia-986343-nur2755-nur-2755-final-exam-latest-2021-2022-multidimensional-care-iv-mdc-4-rasmussen-/Stuvia.com - The Marketplace to Buy and Sell your Study Material Pt w/ heat stroke--what characteristics would we see in the pt? - Tachycardia, irregular pulse patter, visual disturbance, dec. urine output Pt being treated for hypothermia & is on a heart monitor. What is the reason that the pt could have arrhythmias? - Lactic acid shunted Pt sustained a blunt trauma to the chest, sign that the pt has a pneumothorax? - Diminished breath sounds Low pressure alarms on the ventilator, what do we think happened/what do we do? - It disconnected; ventilate the pt manually Pt w/ rib fracture, how would they present? - Pain on inspiration Most distinctive sign of flailed chest? - Paradoxical chest movement Pt has a high-pressure alarm on the ventilator & absence of breath sounds on the right lower lobe. what do they have? - Pneumothorax Earliest signs of respiratory distress? - Increased resp rate; >20 Most common symptoms of a pt w/ a PE? - Sudden chest pain Downloaded by: helena_zavala | [email protected] Distribution of this document is illegal This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 07:56:27 GMT -05:00 https://www.coursehero.com/file/106217904/Stuvia-986343-nur2755-nur-2755-final-exam-latest-2021-2022-multidimensional-care-iv-mdc-4-rasmussen-/Stuvia.com - The Marketplace to Buy and Sell your Study Material Assessing pain for pt who is unconscious, what's the first intervention? - Nail bed pressure Pt with a head injury & are arousable, what is one intervention the pt can do themselves to reduce ICP? - Exhaling during repositioning Characteristics of CSF, what does it test for? - Clear w/ a yellow halo; tests positive for glucose How can we limit autonomic dysreflexia? - Routine bowel & bladder program Evaluating a pt for a spinal cord injury; which of the following would indicate shock? - Flaccid paralysis Can restraints be used if a pt had a seizure? - No Pt with hemianopia, what do we recommend to help overcome their deficit? - Scanning back & forth Best thing to teach pt w/ Myasthenia gravis, regarding their medications - Continue taking meds to maintain blood level Pt w/ Parkinson's w/ bradykinesia--what to teach them for getting out of a chair? - Rock back & forth Downloaded by: helena_zavala | [email protected] Distribution of this document is illegal This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 07:56:27 GMT -05:00 https://www.coursehero.com/file/106217904/Stuvia-986343-nur2755-nur-2755-final-exam-latest-2021-2022-multidimensional-care-iv-mdc-4-rasmussen-/Stuvia.com - The Marketplace to Buy and Sell your Study Material Pt that has Guillain Barre syndrome--what do we want to know about them? - If they have a hx/exposure of epstein-barr virus Pt w/ Guillain Barre & have been intubated; what is the plan of care for the pt to cope w/ this illness? - Provide info, give positive feedback, & encouraged relaxation What is the neurological sign for meningitis? - Brudzinski sign Pt instructions do we give a pt w/ a halo device? - Drink w/ a straw, inform pt the device will change their equilibrium/balance, wash under the wool skin Triage the following: - Infant w/ petecchiae/104 temp, pt w/ minor head wound, pt w/ abd pain, & pt w/ ankle injury Giving food to a pt with hemiparesis and has hemiplegia? - Offer food on the unaffected side What is the long-term reaction to Dilantin/phenytoin use? - Gum hyperplasia Pt that is on Dilantin long-term, what might happen if they abruptly d/c? - Status epilepticus would develop Downloaded by: helena_zavala | [email protected] Distribution of this document is illegal This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 07:56:27 GMT -05:00 https://www.coursehero.com/file/106217904/Stuvia-986343-nur2755-nur-2755-final-exam-latest-2021-2022-multidimensional-care-iv-mdc-4-rasmussen-/Stuvia.com - The Marketplace to Buy and Sell your Study Material Pt is in the postictal phase of a tonic-clonic seizure, what will they look like? - Tired & drowsy Priority assessment in pt in the postictal phase? - Airway Give instructions/education to a pt going to receive and EEG, can they have anything with caffeine? - NO caffeine What would we observe in a pt in the ictal phase? - Loss of awareness, rigidity; stiffness, violent muscle contractions Decerebrate posturing? - The back is arched & all 4 extremities are rigidly extended What is the desired PTT for heparin therapy? - 60 Pt with a PTT of 25 seconds, what would we do? - Increase heparin Pt is genetically predisposed to a PE; what would we expect to do? - Teaching for an IVC filter Pt has a massive blood loss from trauma, what will you expect to see in their MAP? - It will drop Downloaded by: helena_zavala | [email protected] Distribution of this document is illegal This study source was downloaded by 100000825611411 from CourseHero.com on 10-25-2022 07:56:27 GMT -05:00 https://www.coursehero.com/file/106217904/Stuvia-986343-nur2755-nur-2755-final-exam-latest-2021-2022-multidimensional-care-iv-mdc-4-rasmussen-/Stuvia.com - The Marketplace to Buy and Sell your Study Material Pt's RR was 12 and is now at 16, HR 80 and now 92, what is the priority action? - Continue to monitor/document findings Pt's WBC: 3.8, BS: 198, Temp: 96.2, what is the priority action? - Call MD about the temperature. One thing to give instructions on for older adults in a community to prevent dehydration - Inc. fluid intake/drink more water Number 1 lab to look at when evaluating shock - Lactic acid Ways to prevent PTSD - Well balanced meal, drink fluids, take a break when need to, don't work >12 hrs a day, debrief [Show More]

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