#1 medication for a patient with Encephalitis that was
exacerbated by Herpes Simplex? Correct Answer Acyclovir
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 25 year old man weighing 70 kg with 30% TBSA burn was
admitted at 4 pm. His burn occured at 3om. He recv'd 1000ml in
the field.
Caclulate hourly infusion rate in first 8 hrs? Correct Answer
Buring occured at 3 pm and 1000 given in the field. So 8 hr
point is 11pm. It is now 4on, so we need 3200 over the next 7
hrs
A 25 year old man weighing 70 kg with 30% TBSA burn was
admitted at 4 pm. His burn occured at 3om. He recv'd 1000ml in
the field.
What are the intervals that the pt will rec'v LR and how much
will he rec'v after each interval? Correct Answer two intervals:
1st 8 hrs 2nd 16 hrs
-4200 ml during 0-8 hrs
-4200 ml during 8-24 hours
,A 25 year old man weighing 70 kg with 30% TBSA burn was
admitted at 4 pm. His burn occured at 3om. He recv'd 1000ml in
the field.
What is the total fluid replacement in 24 hours? Correct Answer
4ml X 30% X 70 kg= 8400 ml in 24 hours
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%
A catastrophic disaster has occurred 5 miles from the hospital
you are working in. The hospital's disaster plan is activated &
the wounded are brought to the hospital. You are helping triage
the survivors. One of the wounded is able to walk around and
has minor lacerations on the arms, hand, chest and legs. You
would place what color tag on this survivor? Correct Answer
Green
A female patient has experienced an episode of myasthenic
crisis. The nurse would assess whether the patient is
precipitating factors such as? Correct Answer Omitting doses
of medication
A nurse is caring for a client diagnosed to have a head injury.
Which of the following situations needs intervention by the
nurse? Correct Answer The client's spouse turns on the TV one
hours in the afternoon and 3 hours in the evening.
(You need low stimulation)
, 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
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
A patient is diagnosed with hypovolemic shock. Which is a
priority action? Correct Answer Monitor for dysrhythmias
A patient with 60% TBSA. What is your priority action?
Correct Answer 1. Airway/intubation
2. Circulation/ IV Fluids
3. Foley Catheter
4. Burn wound covering/cleaning
5. Pain MGMT
6. Anti-anxiety medication; thermoregulation (keep room temp
low)
An epidural hemtoma results from bleeding between the dura
and inner surface of the skull, and is an active ____________
bleed. This is a MEDICAL EMERGENCY. Correct Answer
Arterial
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