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NSG 4100 Exam 4 Questions With Complete Solutions
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NSG 4100 Exam 4 Questions With Complete Solutions
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NSG 4100 Exam 4 Questions With Complete Solutions"If I can just live long enough to celebrate my daughter's
Sweet 16 I will be ready to die" is an example of? Correct
Answer Bargaining
A 25 year old female patient has sustained burns to the back of
the right arm, posterior trunk, front of the left leg, anterior head
and neck, and perineum. Using the Rule of Nines, calculate the
total body surface area percentage that is burned? Correct
Answer 37%
-Back of right arm (4.5%), posterior trunk (18%), front of left
leg (9%), anterior head and neck (4.5%) and perineum (1%)
which equals 37%.
A 25-year-old man weighing 70 kg with a 30% TBSA burn was
admitted at 4 pm. His burn occurred at 3 pm. He received
1000mL in the field. What is total fluid replacement in 24
hours? How much in first 8 hours and the following 16 hours?
Calculate hourly infusion rate in first 8 hours. Correct Answer
Total fluid requirement for first 24 hours: 4 ml×(30% total burn
surface area)×(70 kg) =8400 ml in 24 hours
-Half to be given in first 8 hours, half over the next 16 hours:
Will receive 4200 ml during 0-8 hours and 4200 ml during 8-24
hours
-Calculate hourly for the first 8 hours: Burn occurred at 3 pm
and 1000 given in field, so 8 hour point is 11 pm. It is now 4
pm, so need 3200 ml over next 7 hours: 3200/7 = 457
ml/hour from 4 pm to 11 pm
,A 56 year old patient presents with dizziness and left sided chest
pain, the patient should be prioritized into which category?
Correct Answer Emergent
A 60 year old patient presents to the emergency department after
falling off a ladder and is unconscious during the primary survey
the nurse should? Correct Answer obtain a Glasgow coma
scale score
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 percentage that is burned? Correct Answer 58.5%
-Front and back of right and left leg (36%), front of right arm
(4.5%), anterior trunk (18%) which equals 58.5%.
A CN must select which patient on her unit can be discharged to
make room for victims, who can safely be sent home? Correct
Answer the client who 24 hours earlier gave birth to her second
baby by C-section
A female patient has experienced an episode of myasthenic
crisis. The nurse would asses whether the patient has
precipitating factors such as? Correct Answer Omitting does of
medication
-Myasthenic crisis often is caused by under medication and
responds immediately to cholinergic medications such as
neostigmine and pyridostigmine
A nurse is caring for a client diagnosed with a head injury,
which of the following situations needs intervention by the
, nurse? Correct Answer The clients spouse turns on the TV one
hour in the afternoon
and 3 hours in the evening
-In a client with head injury, ICP increases. External stimuli
should be reduced to decrease oxygen consumption to prevent
seizures
A patient enters the emergency department and is diagnosed
with traumatic brain injury. What observation will require
urgent intervention? Correct Answer urine output of 200mL/h
A patient has a chemical burn from lye. Treatment will be based
on what knowledge about this burn? Correct Answer this is an
alkali burn
A patient has a full thickness burn on the front and back torso,
what intervention is appropriate? Correct Answer place the
patient in high fowlers, prep the patient for intubation, prep the
patient for escharotomy, obtain IV access at two sites
A patient has been diagnosed with multiple sclerosis, which
statement about activity and rest is incorrect? Correct Answer
walking does not improve gait
-Correct: take frequent short rest periods preferably lying down,
work and exercise to a point just short of fatigue, strenuous
physical exercise is not advisable because it will
raise body temperature
A patient has septic shock and receives large amounts of IVFs
but this was unsuccessful inmaintaining tissue perfusion what
should you do next? Correct Answer NE
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