1. Apatientwithorthopedictraumacomplains ofsevereunrelentingpainintheafectedextremitynotrelievedbyanalgesics.Whatisthe nursemostconcernedabout?
WhyisanORIFdoneinsteadoflettingahip healovertime? Preventcomplicationsandearlyambulation 3 Hypovolemiainburnsiscausedby Capillarybedleakage
4 Apatientweighing68kghasa50%TBSA burn.UsingtheParkland(Baxter)formulafor fuidreplacementhowmanycc/hrshouldthe nurseadministerinthefrst8hours?[TBSA burnedxWt(kg)x4mL]___________
TheParklandFormulaisforthefrst 24hours.Todeterminethe8-hour,you needtodividetheresultsby2.
68x50x4=13,600in24hours,6,800 infrst8hours,and6,800inthenext16 hours.Thatworksoutto850cc/hrfor thefrst8hours. 5 T/F
Nursesshoulddiscourageuseofanyalternativeorcomplementarytherapy. False(allowholisticcare)
6. Thecauseoforganfailureandcellulardysfunctioninshockis: Inadequatecellularperfusion
7 Wouldyouusevasopressor(dopamine)in cardiogenicshock? Yes.VasoconstrictiontoincreaseBP
8 Wouldyouuseinotropicagent(dobutamine) incardiogenicshock? Yes.IncreaseforceofmyocardialcontractiontoincreaseCO
9 WouldyouuseIVrateof500cc/hrdecreased abilitytopumpbloodincardiogenicshock? No.Thereisadecreasedabilitytopump blood
AptarrivesintheEDafteranaccident.What isthefrstthingyouassess?
isMODS? Multipleorgandysfunctionsyndrome (failureof2ormoreorgansystems)
Doesanaphylacticshockcausesymptoms duetoincreasedperipheralresistance? No.Massivevasodilation,releaseof mediators,increasedcapillarypermeability
WhyisPEEPusedinapatientwithARDS? Topreventalveolarcollapsebykeeping lungsexpandedduringexpiration
common
Whattypeofheadachemaybeaccompanied bynausea,vomitingandirritability?
Whatsymptomswouldyouexpecttoobserveinaclientwithasuspecteddiagnosis ofParkinson'sDisease? Bradykinesia,rigidity,tremors
Whichofthefollowingnursingdiagnosesare includedintheplanofcareinthepatientwith ALS?
A.Alterationincomfort
B.Fluidvolume,excess
C.Impairedbowelelimination
D.Potentialforinjury
E.Inefectivebreathingpattern
F.Inefectivecopingstrategies
A.Alterationincomfort
C.Impairedbowelelimination
D.Potentialforinjury
E.Inefectivebreathingpattern
F.Inefectivecopingstrategies