Exam (elaborations)
Complex Adult Health CMS review QUESTIONS AND ANSWERS A GRADED
- Course
- Institution
Complex Adult Health CMS review QUESTIONS AND ANSWERS A GRADED
[Show more]
Seller
Follow
Classroom
Reviews received
Content preview
Complex Adult Health CMS review QUESTIONS AND ANSWERS A GRADEDModifiable vs non modifiable risk factors Correct Answer: Modifiable: can be changed
- smoking, nutrition, access to health education, sexual practices and exercise
Nonmodifiable: cannot be changed
- sex, age, race, developmental level and genetic traits
ABCDEFGHI Principle Correct Answer: Airway/cervical spine
Breathing
Circulation
Disability
Examine
Fahrenheit
Get vitals
Heat to toe
Interventions
Immediate interventions for loss of airway Correct Answer: Loss of ability to maintain an airway -
inspect for things causing an obstruction
If unresponsive without suspicion of trauma - open airway using head-tilt, chin-lift maneuver
If unresponsive with suspicion of trauma - open airway with a modified jaw thrust maneuver
What type of oxygen delivery device would be used for clients needing additional support during
resuscitation until advanced airway is established? Correct Answer: Bag-valve mask with a 100% oxygen
source
Interventions for restoring effective circulation Correct Answer: - CPR
- assess for external bleeding
- hemorrhage control
- IV access using large bore catheters
- infuse isotonic IV fluids
If a client is not breathing or is breathing inadequately what should be done in terms of oxygenation?
Correct Answer: Manual ventilation by a bag valve mask with supplemental oxygenation
Early signs of shock Correct Answer: - MAP down 10mmHg fr. baseline
- effective compensation of O2 --> vital organs
- increased HR
Compensatory signs of shock Correct Answer: - MAP down 10-15 mmHg fr. baseline
- Increase renin
- Increase ADH
- vasoconstriction
- decrease pulse pressure
- increase HR
- decrease pH
,- restless
- apprehensive
Progressive signs of shock Correct Answer: - MAP decrease 20 mmHg fr. baseline
- Tissue/Organ hypoxia
- decrease urine (oliguria)
- weak rapid pulse
- decrease pH
- sensory neural changes
Refractory signs of shock Correct Answer: - excessive cellorgan damage
- multi system organ failure
- decrease pH
What can develop if circulation is compromised as the body's response to inadequate tissue perfusion
and oxygenation? Correct Answer: Shock
Interventions to alleviate shock Correct Answer: -administering oxygen
-Apply pressure to obvious bleeding
-Elevate lower extremities to shunt blood to vital organs
-AdministerIV fluids & blood products as ordered
-Monitor VS
-Remaining w/ the client & provide reassurance & support for anxiety
AVPU mnemonic Correct Answer: *AVPU mnemonic - to assess the "D"/Disability in the Primary ABCDE
Assessment*
- A, alert: is the client alert and responsive?
- V, verbal: does the client respond to verbal stimuli?
- P, pain: does the client respond only to painful stimuli?
- U, unresponsive: is the client unresponsive to all stimuli, including pain?
Glasgow Coma Scale (GCS) Correct Answer: Eye opening: 1) none, 2) to pain, 3) to verbal command, 4)
spontaneous
Verbal response: 1) none, 2) incomprehensible sounds, 3) inappropriate words, 4) disoriented/confused,
5) oriented
Motor response: 1) none, 2) decerebrate, 3) decorticate, 4) withdraws to pain, 5) localizes pain, 6) obeys
commands
Arterial line monitoring Correct Answer: Continuous BP & blood specimens for ABGs
Pulmonary artery catheter monitoring Correct Answer: Central venous pressure
Pulmonary artery pressure
Cardiac output
**Continuous hemodynamic monitoring**
, What position should a patient with shock or hypotension be placed in? Correct Answer: Flat with both
legs elevated
Degrees of frostbite Correct Answer: 1st degree- superficial layers of exposed skin, hyperemia & edema
2nd degree- blister cover exposed skin causing necrotic tissue death and swelling
3rd degree- extensive edema & blisters that don't blanch, treated with debridement of damaged tissue
4th degree- area lacks blood supply, full thickness necrosis of skin with potential progression to
gangrene
Nursing care for frostbite Correct Answer: Bathing affected areas in warm bath (104° to 108°) improves
blood circulation
- rewarming can increase pain to affected areas
Administer tetanus toxoid IM vaccine
Nursing care to prevent hypothermia Correct Answer: - remove wet clothing
- cover with warm blankets
- increase room temp
- use heat lamp to provide warmth
- infuse warmed IV fluids
Heat stroke Correct Answer: Medical emergency requiring immediate treatment
- administer O2 as needed
- large gauge IV for 0.9% sodium chloride
- may require in dwelling urinary catheter
- apply ice packs and cooling blankets
Nursing care for poisoning Correct Answer: Prevent further absorption of toxin
Respiratory support
Circulation and restore fluids
Monitor ABGs
Ingested poisoning may need activated charcoal, gastric lavage, or aspiration
Snake bite/ Spider bite: antivenom within 4-12 hr
> assess tissue for edema q15 to 30 min
> opioid meds for pain
Reverse heroin and other opiate toxicity with... Correct Answer: Naloxone
Common causes of pulseless electrical activity Correct Answer: 5 H's
Hypovolemia
Hypoxia
Hydrogen ion accumulation, resulting in acidosis
Hyperkalemia
Hypothermia
5 T's
Toxins
Tamponade (cardiac)
Tension pneumothorax
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Classroom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75391 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now