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MDC4 Exam 3 Questions with 100% Verified Correct Answers 2024/2025 $18.49   Add to cart

Exam (elaborations)

MDC4 Exam 3 Questions with 100% Verified Correct Answers 2024/2025

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MDC4 Exam 3 Questions with 100% Verified Correct Answers 2024/2025 What does triaging do? - Correct Answer *acts as gatekeeper* helps prioritize patient care based on illness and severity level According to triage, what patients would be seen firtst - Correct Answer highest acuity patients will rec...

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  • September 8, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • what does triaging do
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  • MDC4
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MDC4 Exam 3 Questions with 100% Verified Correct
Answers 2024/2025

What does triaging do? - *answers* *acts as gatekeeper*
helps prioritize patient care based on illness and severity level

According to triage, what patients would be seen firtst - *answers* highest acuity
patients will receive quickest intervention

(Most ill/severe will get seen first)

What is a good model for triaging patients? - *answers* ABCs

Is hospital triaging the same as mass casualty triaging? - *answers* NO

Which triage situation uses tags? - *answers* mass casualties

what are the categories of triage? - *answers* - emergent
- urgent
- nonurgent
- primary survey

what classifies a patient as emergent according to triage - *answers* - life threatening
injuries
- needs immediate treatment

what patient conditions warrant an emergent status of triage - *answers* - respiratory
distress
- chest pain with diaphoresis
- stroke
- active hemorrhage
- unstable vitals

what classifies a patient as urgent according to triage - *answers* patient should be
treated quickly but there is not and immediate threat to life

what patient conditions warrant an urgent status for triage - *answers* - severe
abdominal pain
- renal colic
- displaced multiple fractures
- new onset of respiratory infection (pneumonia)

what classifies a patient as nonurgent according to triage - *answers* patient can wait
several hours without a risk to life

,what patient conditions warrant a nonurgent status for triage - *answers* - skin rash
- strains/sprains
- colds
- simple fracture

what is a primary survey that should be performed while triaging? - *answers* ABCDE

what does ABCDE stand for in triaging patients - *answers* A: Airway/cervical spine
B: Breathing
C: Circulation
D: Disability
E: Exposure

what does the "A" refer to in ABCDE - *answers* airway, cervical spine

- patent airway
- immobilize spine

**do NOT move patient

what does the "B" refer to in ABCDE - *answers* breathing

- assess sounds
- assess chest wall movement

what does the "C" refer to in ABCDE - *answers* circulation

- vitals (BP and pulse)
- maintain vascular access
- stop any bleeding

what does the "D" refer to in ABCDE - *answers* disability
*LOC

what does the "E" refer to in ABCDE - *answers* exposure

- get clothes off
- use blankets to prevent hypothermia

what is the one exception to ABCDE? - *answers* in excessive bleeding, you would
prioritize "C" before "AB"

what is a secondary survey? - *answers* comprehensive head to toe assessment

, if warranted during the secondary survey, what would a nurse likely do? - *answers* -
insert NG tube
- insert catheter
- prep for diagnostics

what does drowning lead to? - *answers* leads to loss of surfactant in lungs which
causes alveolar collapse and pulmonary edema

is dehydration common in heat exhaustion? - *answers* YES

what can major diaphoresis cause? - *answers* severe dehydration and hyponatremia

if heat exhaustion goes untreated, what can it cause? - *answers* heat stroke

what are the s/s of heat exhaustion - *answers* -dehydration
-decrease in blood volume
-decrease in BP
-tachycardia

what is the first intervention for a person expected to have heat exhaustion? - *answers*
stop their physical activity and transfer to a cool place

what is the quickest way to reduce someone's temperature? - *answers* - remove
clothing
- remove bed linen

what interventions are there for cooling patients down? - *answers* - cold pack on the
neck, chest, abdomen, and groin
- soak in cool water

when rehydrating someone with heat exhaustion, should you use water or a sports
drink/oral reydration solution? - *answers* Sports drink/oral hydration solution

why is a sports drink better at rehydrating patients with heat exhaustion? - *answers*
plain water can worsen sodium deficits

nursing care for patients hospitalized with heat exhaustion - *answers* - monitor vitals
- administer .9% NS in N/V is present
- draw labs to check electrolytes

how is heat stroke defined? - *answers* body temperature greater than 104F

T/F: heat stroke is a medical emergency - *answers* TRUE

T/F: if heat stroke is left untreated it becomes fatal - *answers* TRUE

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