Exam (elaborations)
MED SURG II EXAM 2
- Course
- Institution
Exam of 9 pages for the course Med Surg at Med Surg (MED SURG II EXAM 2)
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MED SURG II EXAM 2universaloobloodoodonoroo-ooans--✔✔Ooonegative
Universaloobloodoorecipientoo-ooans--✔✔AB+
howoomuchootimeoodoooyouoohaveootooostartooaoobloodootransfusionooafteroopickingooupoob
loodoofromootheoobloodoobank?oo-ooans--✔✔30oominutes
whatooisootheoomaximumootimeooallowedooforooaoobloodootransfusionoobeforeooyouoohaveo
otooodiscontinueooit?oo-ooans--✔✔4oohours
howoolongoodoooyouoostayoowithooaoopatientooafteroostartingooaoobloodootransfusionoo&oow
hy?oo-ooans--✔✔15-
30oominutes;oothatooisootheoomostoolikelyootimeoothatootheyoowouldoohaveooaoobloodootrans
fusionooreaction
isootheoopatientsooroomoonumberooaooformooofooidentificationootoooverifyooblood?oo-ooans--
✔✔no
nursingoointerventionsooforootransfusion-associatedoocirculatoryoooverload?oo-ooans--
✔✔monitorooI&Os
administeroobloodooproductsoo@ooaoosloweroorateoo
potentiallyooadministeroodiureticsooduringoooroorightooafterootransfusion
signsoo&oosymptomsooofootransfusion-associatedoocirculatoryoooverloadoo-ooans--
✔✔fluidoooverload,ooboundingoopulse,oohypertension,ooboundingoopulse,oorestlessness,oo
confusion,ooJVD,oodyspnea
hyperopiaoo-ooans--✔✔farsightednessoo-
oocanooseeooobjectsoofarooawayoobutoonotoocloseooup
myopiaoo-ooans--✔✔nearsightednessoo-
oodistanceoovisionooisoopooroobutoocloseooupoovisionooisoonormal
howooisooexternaloootitisootreated?oo-ooans--✔✔earoodrops
howooisoootitisoomediaootreated?oo-ooans--✔✔oralooantibiotics
Aoonurseoohelpsooaoohealthoocareooproviderootreatooaoofull-
thicknessooburnooonooaoopatient'soohand.ooPriorootoootreatment,ootheoonurseoodocumentso
otheooappearanceooofootheoowoundooas:oo-ooans--✔✔dryooandoopale
, Immediatelyooafterooaooburnooinjury,ooelectrolytesooneedootooobeooevaluatedooforooaoomajo
rooindicatorooofoomassiveoocelloodestruction,oowhichoois:oo-ooans--✔✔hyperkalemia
Whichooofootheoofollowingooisootheooeffectooofooproteinoocatabolismooinooaooclientoowithoos
evereooburns?oo-ooans--
✔✔Itoocompromisesoowoundoohealingooandooimmunocompetence
Whichooofootheoofollowingoowouldooindicateootheooneedootoooincreaseoofluidsoobeyondoowh
atooisoorecommendedooforoofluidooresuscitation?oo-ooans--✔✔Myoglobinooinootheoourine
Aooclientoowhooohasoosustainedooburnsootoootheooanterioroochestooandooupperooextremitie
sooisoobroughtootoootheooburnoocenter.ooDuringootheooinitialoostageooofooassessment,oowhi
choonursingoodiagnosisooisooprimary?oo-ooans--✔✔RiskooforooImpairedooGasooExchange
Anooexplosionooofooaoofuelootankeroohasooresultedooinoomeltingooofooclothingooonootheoodri
verooandooextensiveoofull-
bodyooburns.ooTheooclientooisoobroughtoointoootheooemergencyoodepartmentooalert,oodenyi
ngoopain,ooandoojokingoowithootheoostaff.ooWhichooisootheoobestoointerpretationooofoothisoob
ehavior?oo-ooans--✔✔Theooclientoohasooexperiencedooextensiveoofull-thicknessooburns
Aooclientooreceivedooburnsootooohisooentireoobackooandooleftooarm.ooUsingootheooRuleooofoo
Nines,ootheoonurseoocanoocalculateoothatooheoohasoosustainedooburnsooonoowhatoopercent
ageooofoohisoobody?oo-ooans--✔✔27%
AooclientooisoobroughtootoootheooEDoowithooburnsooexceedingoo20%ooofoototaloobodyoosurf
aceooarea.ooWhichooisootheooprimaryoonursingoointerventionooinootheoocareooofoothisooclien
too-ooans--✔✔fluidooresuscitation
Theoonurseooisoocaringooforooaoopatientoowhooosustainedooaoomajorooburn.ooWhatooseriou
soogastrointestinaloodisturbanceooshouldootheoonurseoomonitorooforoothatoofrequentlyooocc
ursoowithooaoomajorooburn?oo-ooans--✔✔paralyticooileus
Theoomostooimportantoointerventionooinootheoonutritionaloosupportooofooaooclientoowithooaoo
burnooinjuryooisootoooprovideooadequateoonutritionooandoocaloriesootooo-ooans--
✔✔decreaseoocatabolism.
Aoopersonoosuffersoolegooburnsoofromoospilledoocharcoaloolighteroofluid.ooAoofamilyoomemb
erooextinguishesootheooflames.ooWhileoowaitingooforooanooambulance,oowhatooshouldoothe
ooburnedoopersonoodo?oo-ooans--
✔✔Haveoosomeoneooassistoohimoointoooaoobathooofoocooloowater,oowhereooheoocanoosoa
koointermittentlyoowhileoowaitingooforooemergencyoopersonnel
Aoonurseooisoocaringooforooaooclientoowithooskinoograftsoocoveringoofull-
thicknessooburnsooonootheooarmsooandoolegs.ooDuringoodressingoochanges,ootheoonurseoo
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