NUR 3019 Final Study Guidequestion and answers study guide 2023 latest

Final Study Guide 1) Evaluating fluid resuscitation in clients with burn injuries. When do you know fluid resuscitation phase is working for this client? What are you looking at to tell you that its working? The nurse is caring for a client with deep patrial-thickness and full-thickness burns to the chest area. Which assessment data would warrant notifying the health-care provider? A. The client is complaining of severe pain B. The client pulse oximeter reading is 95% C. The client has T 100.4, P100, R24, and BP 102/60 D. The client’s urinary output is 50mL in two hours ANS: D, Fluid and electrolyte balance is the priority for the client with severe burn. Fluid resuscitation must be maintained to keep a urine output of 30mL. 2) There is no fluctuation in the water seal chamber and the patient does not appear to have any respiratory distress; what is occurring? What could be the cause? A patient with a chest tube has no fluctuation of water in the water seal chamber. What could be the cause of this? A. This is an expected finding B. The lung may have re-expanded or there is a kink in the system C. The system is broken and needs to be replaced D. There is an air leak in the tubing ANS: B 3) Patients with different percentage of body surface area burns by fire, etc based on client’s greater risk of development, based on age-related changes and it’s an older client. What is one of the greatest risks for age-related changes? Think about what are the organs that are going to be most affected? What is most affected in the elderly population The nurse is reviewing a medication record for an older adult client recently admitted to the burn unit with severe burns to the upper body from a house fire. The nurse plans to contact the healthcare provider if the client is receiving which medication? ANS: Furosemide 4) Know how atrial fibrillation EKG looks 5) Sinus tachycardia