SUBSCRIBE
NUR 213 FINAL 3
- Red (Immediate)
Answer life threatening, treatable with immediate attention Example
Answer airway obstruction, MI, hemorrhage, severe abdominal injury, tension pneumothorax, shock, head injury, threatened loss of limb
- Yellow (Delayed)
Answer potentially serious but stable enough to wait a short while for medical treatment Examples
Answer fractures, burns < 20%, soft tissue injuries minimal bleeding, torso wounds w/o shock, facial injury w/o airway involvement
- Green (Minimal)
Answer minor injuries can wait for longer periods of time Examples
Answer ambulatory, minor burns, sprains, lacerations
- Black (Expectant)
Answer dead, no VS, injuries incompatible with survival Examples
Answer full thickness burns > 50% TBSA, no pulse or breathing after airway opened, high SCI, transcranial GSW
- The nurse provides care to a patient who is admitted for a myocardial infarc- tion (MI). When
- Obstructive
- Hypovolemic
- Distributive
- Cardiogenic
planning care for this patient, the nurse includes interventions that address which type of shock?
Answer Cardiogenic 1 / 4
SUBSCRIBE
- Which hemodynamic parameter indicates that fluid resuscitation in septic shock is
- Cardiac output of 3.5L/min
- Low right atrial pressure
- Low central venous pressure
- Mean arterial pressure of 67 mm Hg
improving?
Answer Mean arterial pressure of 67 mm Hg
- A nurse is teaching a client who has hepatitis A. Which of the following information should
- The incubation of the virus is 5 days
- Hepatitis A infects the kidneys
- Manifestations of the virus are similar to flu-like symptoms
- A family history increases your risk for acquiring hepatitis A
the nurse include?
Answer Manifestations of the virus are similar to flu-like symptoms
- A patient admitted with smoke inhalation injuries develops clinical manifes- tations of acute
- Intubation and mechanical ventilation
- Oxygen via a nasal cannula
- Continuous positive airway pressure via face mask
- Face mask oxygen administration
respiratory distress syndrome (ARDS). The nurse anticipates the healthcare provider will implement which action?
Answer Intubation and mechanical ventilation
- A nurse is admitting a client who has acute pancreatitis. Which of the following provider
- Ambulate twice daily
- Pantoprazole 80 mg IV bolus twice daily
- Pancrelipase 500 units/kg PO three times daily with meals
- Initiate a low-residue diet
prescriptions should the nurse anticipate?
Answer Pantoprazole 80 mg IV bolus twice daily
- A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The
- analgesic 2 / 4
nurse recognizes that the aspirin is given due to which of the following actions of the medication?
SUBSCRIBE
- anti platelet aggregate
- anti-inflammatory
- antipyretic
Answer anti platelet aggregate
- A nurse in the emergency department is caring for a client who reports chest pressure and
- Aspartate aminotransferase (AST)
- B-type natriuretic peptide (BNP)
- Troponin I
- Lipase
shortness of breath. Which of the following laboratory tests should the nurse anticipate the provider to prescribe?
Answer Troponin I
- A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of
- A client who eats raw shellfish
- A client who had recently traveled to a underdeveloped country
- A client who works in a child care center
- A client who has multiple tattoos
the following clients is at risk for developing hepatitis C?
Answer A client who has multiple tattoos
- The nurse analyzes the client's ECG and compares it with a baseline ECG recorded before
- Absence of T wave
- Prolonged P-R interval
- Prolonged QRS segment
- Elevated P wave
the client began having chest pain. What finding indicates a problem with the ventricle?
Answer Prolonged QRS segment
- A nurse admits a client to the emergency department who reports nausea and vomiting that
- Decreased WBC
- Increased serum calcium
worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis.Which of the following laboratory test results should the nurse expect to see?
- Increased serum amylase 3 / 4
SUBSCRIBE
- Decreased serum lipase
Answer Increased serum amylase
- Which of the following medications would be expected for chronic renal failure?
- Lactulose
- Atropine
- Calcium acetate (PhosLo)
- Silver sulfadiazine (Silvadene)
Answer Calcium acetate (PhosLo)
- The only type of shock exhibiting bradycardia
Answer
- Cardiogenic
- Anaphylactic
- Septic
- Neurogenic
Answer Neurogenic
- What is a cause of post-renal acute kidney injury?
- Acute tubular necrosis
- Hypotension
- Benign Prostatic Hypertrophy (BPH)
- Acute Glomerulonephritis
Answer Benign Prostatic Hypertrophy (BPH)
- What is the priority of pt with full thickness burns to the face and chest?
- Assess for cardiac arrhythmias
- Closely monitor urinary output
- Begin fluid resuscitation
- Assess for inhalation injury
Answer Assess for inhalation injury
- True or False
- / 4