Exam (elaborations)
ACNP - Acute Care Nurse Practitioner: Q’s And A’s
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ACNP - Acute Care Nurse Practitioner: Q’s And A’s
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ACNP - Acute Care Nurse Practitioner: Q’s And A’sIndications for intubation post-burn Right Ans - 1. Burn to the face
2. Singed nares or eyebrows
3. Dark soot/mucus from nares and/or mouth
Management of Acute non-severe burn Right Ans - 1. Submerse in clean
water
2. Wrap in clean, wet towel and transport
-no ice, lotions, toothpaste, lard, butter
3. Cleanse with NS (no betadine, alcohol, etc)
4. Maintain normal temp
5. Pain management (morphine, hydromorphone) and amnesia (midazolam)
How to remove tar from the skin Right Ans - use petroleum based produce
i.e. bacitracin, petroleum jelly, mayonnaise
Fluid resuscitation after a burn (Parkland formula) Right Ans - 4 ml/kg x
%TBSA burned in the first 24 hours
- 1/2 within 8 hours
- 1/2 within the next 16 hours
Monitor for what post-burn? Right Ans - 1. Metabolic acidosis (early)
2. Hyperkalemia (first 24-48 hours)
3. Hypokalemia (3 days post-burn)
What % of a patient's TBSA is the palm? Right Ans - 1%
What type of bite is most infectious? Right Ans - Cat
Irrigate bites with what? Right Ans - High-pressure NS or LR using an 18-
19G needle
Wounds of the hands or lower extremities should be left open, T or F?
Right Ans - True
What is the time lapse for when a bite should no longer be closed? Right
Ans - 6 hours
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