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NUR 265 EXAM 3 LATEST UPDATE COMPLETE 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (LATEST UPDATE RATED A+) GALEN COLLEGE OF NURSING What causes Autonomic Dysreflexi
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NUR 265 EXAM 3 LATEST UPDATE COMPLETE 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (LATEST UPDATE RATED A+) GALEN COLLEGE OF NURSING What causes Autonomic Dysreflexi NUR 265 EXAM 3 LATEST UPDATE COMPLETE 200 QUESTIONS AND CORRECT ANSWERS WITH RATIONALES (LATEST UPDATE RATED A+) G...

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  • October 27, 2024
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  • 2024/2025
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NUR 265 EXAM 3 LATEST UPDATE 2024-2025
COMPLETE 200 QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES (LATEST UPDATE
RATED A+) GALEN COLLEGE OF NURSING
What causes Autonomic Dysreflexia - answer-Stimulation at level of T6 or above



What are some examples of triggers of autonomic dysreflexia - answer-restrictive clothing; full
bladder/neurogenic bladder; fecal impaction; directive pressure s/a sitting in the wheel chair



signs and systems of Autonomic Dysreflexia - answer-hypertension, flushed face, headaches, JVD,
bradycardic, diaphoresis, pale ext below the level of T6, nausea, dilated pupils, blurred vision,
restlessness



What is the purpose of fluid resuscitation for a burn victim - answer-maintain vital organ perfusion,
reduce edema, minimize effects of fluid shifts, prevent hypovolemic shock



What IV solution is commonly used to resuscitate a pt with a burn - answer-Lactated ringers



Chemical burns should be irrigated until - answer-20 minutes or the burn sensation continues after the
20 minute marker



what would you use to remove hot tar or asphalt - answer-citrus petroleum jelly ex; medisol

petroleum jelly

antibiotic ointment



what kind of brain injury would you expect if an adult client is positive for Palmer's infant reflexes -
answer-cortical and premotor cortex damage



what kind of brain injury would you expect if an adult client is positive for plantar infant reflexes -
answer-upper motor neuron lesion

,what kind of brain injury would you expect if an adult client is positive for rooting infant reflex - answer-
frontal lobe damage



what kind of brain injury would you expect if an adult client is positive for sucking infant reflex - answer-
Advance dementia; cortical brain damage



what kind of brain injury would you expect if an adult client is positive for glabella (persistent blinking)
infant reflex - answer-diffuse cortical dysfunction



What is the consensus formula for burns - answer-2-4 ml X TBSA X KG



What S&S are expected for a burn client who is receiving the first 8 hours of fluid resuscitation - answer-
Restlessness, anxiety, Hypothermia



how much fluid replacement are you going to give the first 8 hours - answer-1/2 of the fluid consensus



What do you need to monitor when resuscitating fluids for burn pt to make sure that it is working -
answer-Urine output



Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning - answer-100% O2
with a non-rebreather



How would you treat a circumferential trunk burn that is swelling and why? - answer-Eschartomies R/T
constriction of the chest wall expansion



what are the classification of shock - answer-Cardiogenic; hypovolemic, neurogenic, and Disruptive



All shock is caused by - answer-inadequate tissue perfusion



Patho of hypovolemic shock - answer-Inadequate circulating blood volume S/A burns, hemorrhage,
dehydration

, Patho for cardiogenic shock - answer-Inadequate pumping action of the heart S/A MI, CHF, PE



What are the 3 subclasses of Distributive shock - answer-Anaphylactic; Septic; Neurogenic



Patho for neurogenic shock - answer-interference of the nervous system that controls the blood vessels



Patho for septic shock - answer-Release of vasoactive substance from the immune system



How much blood loss is required for the patient to be at high risk for hypovolemic shock - answer-15-
25%, or 1/3 of the body blood, or 5L



clients who experience slow blood loss can - answer-Tolerate the blood loss better then a client with
rapid blood loss



Signs and symptoms of compensatory shock - answer-hypotension, tachycardia, tachypnea,
hypothermia, decrease pulse pressure



During compensatory stage of shock, why would you hear hypoactive bowl sounds and cool and clammy
skin - answer-Body shunting blood from skin, kidneys and GI to provide adequate blood volume to the
brain and heart



Why would urine output decrease during compensatory stage of shock - answer-High production of
aldosterone



why do RR increase in compensatory stage of shock - answer-The body is going into acidotic state trying
to blow it off Kussmals



What is the byproduct of anaerobic metabolism that is developing in what stage of shock - answer-Lactic
acid, Compensatory



Why would you not give someone with impaired hepatic function lactated ringers - answer-Because it
does not convert lactic acid into bicarb fast enough could go into acidosis

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