Exam 2: NUR 2755 / NUR2755
(Latest Update 2024 / 2025) Multidimensional Care IV / MDC 4 | Questions and Verified Answers | 100% Correct | Grade A - Rasmussen
Question:
A patient comes in with having cardiac tamponade and obstructive shock.What is obstructive shock?
Answer:
Occurs when cardiac function is impaired due to obstruction causing inability for the heart to pump blood out
Question:
A patient comes in with a severe MI that may progress into cardiogenic shock.He reports he has been using sildenafil for a fib for the past 20 years. what drug should not be given to the patient despite the shock manifestations?
Answer:
Nitroglycerin
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Question:
Which type of burn may need skin grafting?
Answer:
Full thickness burns
Question:
A patient reports to the ED having a burn with a blister formed. What type of burn might this be?
Answer:
2nd degree partial superficial or deep
Question:
A patient is being discharged after skin grafts for a burn. What teaching is critical to provide in caring for the graft?
Answer:
No ROM near skin graft or skin area taken from.
Question:
A patient is in septic shock. calculate how much fluid the patient will get if they weigh 160 lbs. Round to nearest whole number
Answer:
30 mls x 72.8 kg = 2,182 ml 2 / 3
Question:
A patient is in septic shock. calculate how much fluid the patient will get if they weigh 250 lbs. Round to nearest whole number
Answer:
30 mls x 113. 6 kg = 3,409 ml
Question:
What are important lab findings related to DIC?
Answer:
low fibrin levels, low platelets, increased PT/ aPTT, increased d dimer.
Question:
What interventions should the nurse perform for the client in DIC?
Answer:
Check all drainage for blood and monitor I/O, check for petechiae or purpura, no sharp objects or injections, watch vitals signs and assess LOC
Question:
When might dialysis be needed for a MODS patient?
Answer:
When the creatinine is high and output is less than 480 ml/ 24 hrs
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