NSG 4100 EXAM 4 Study guide Exam Questions with Key Marking Scheme Updated 2024/2025
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NSG 4100
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NSG 4100
NSG 4100 EXAM 4 Study guide Exam Questions with Key Marking Scheme Updated 2024/2025
What is the fluid of choice for IVF resuscitation? - correct answer NS at 30 ml/kg
You are caring for a newly admitted patient in the ED who suffered burns to the upper half of their body. Which of the follow...
NSG 4100 EXAM 4 Study guide Exam Questions with
Key Marking Scheme Updated 2024/2025
What is the fluid of choice for IVF resuscitation? - correct answer NS at 30 ml/kg
You are caring for a newly admitted patient in the ED who suffered burns to the upper
half of their body. Which of the following interventions is a priorty? - correct answer
Assess hemodynamic status
A 25 year old female patient has sustained burns to the back of the right arm, posterior
trunk (thorax), front of the left leg, anterior head and neck, and perineum. Using the
Rule of Nines, calculate the total body surface area that is burned? - correct answer
37%
A 68 year old male patient has partial thickness burns to the front and back of the right
and left leg. Front of right arm and anterior trunk. Using the rule of Nines, calculate the
total body surface area that is burned? - correct answer 58.5%
Which of the following lab results would you expect in a burn client? - correct answer
Potassium 5.9
During the emergent phase of burn care which assessment will be most useful in
determine whether the patient is receiving adequate fluid infusion? - correct answer
Measure hourly urine output
The nurse is caring for a patient admitted with burns over 30% of the body surface
assesses that urine output has dramatically increased. Which action by the nurse would
best ensure adequate kidney function? - correct answer Continue to monitor the urine
output
,A patient had severe burns to high right hand a few days ago. He states that the gauze
feels like it's sticking to his skin. What is the next appropriate action? - correct answer
Loosen the gauze and apply moistened gauze to the site
Which statesmen below correctly describes surgical debridement of burns? - correct
answer Scalpels, forceps, scissors and other instruments to cut dead tissue from the
wound
Which is an incorrect statement about burn injury care? - correct answer Beefy red
tissue indicated tissue death
A patient is admitted to the burn unit with burns to the head, face and hands. Initially,
wheezes are heard but an hour later, the lung sounds are decreased and no wheezes
are audible. What is the best action for the nurse to take? - correct answer Notify the
health care provider and prepare for endotracheal intubation
While the patient's full thickness burn wounds to the face are exposed, what is the best
nursing action to prevent cross contamination? - correct answer Wear gowns, caps,
masks, and gloves during all care of the patient
Complications of severe head injuries? - correct answer Complications:
-Brain stem injury
-Neurogenic shock
-Increased ICP
, CM of Brain Stem Injury? - correct answer Edema, Hemorrhage, dolls eyes, Increased
ICP
Your patient has undergone a brain tumor removal. What are post op considerations
you would implement as the nurse? - correct answer -Check Vital signs and for S/S of
increased ICP
-Assess for CSF drainage
-DANGER if 50-100 mls shift contact MD immediatley
"BP systolic not over 130 for r/f Cushings Triad MAP, reduce edema" (idk)
CM of increased ICP? - correct answer The earliest sign of Increased ICP is a change
in LOC= Agitiation, slowing of speech and a delay in response to verbal suggestions
Early Signs of Increased ICP? - correct answer Disorientation, restlessness, increased
RR, purposeless movements, mental confusion, headache, vomiting and pupil changes
Late Signs of Increased ICP? - correct answer Cheyene-Strokes, GCS Scale <8
-Projectile vomiting
-Hemiplegia
-Loss of brain stem reflexes
-Seizures
**Cushings Triad --> Wide Pulse range (INC SYS BP, DEC DIAS BP)
Interventions to Increased ICP? - correct answer Patient should be at 30-40 degrees to
improve drainage if at risk for increased ICP
OTHER:
-Seizure Precautions
-BP & ICP monitoring
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