Med Surg 2, Final Exam, Shock And
Burns, Chapter 53,54 Questions And
Answers With Verified Solutions 100%
Correct!!!
The nurse is caring for a 32-year old with circumferential full-thickness burns to
the right arms and trunk. Which intervention has the highest priority in the plan of
care? - ANSWER✔✔ Assess radial pulses several times a day
A patient severe burn injuries to the abdomen and legs becomes combative when it
is time to change the dressings. What nursing interventions will be the most helpful
to this patient? - ANSWER✔✔ Premedicate the pt with pain and anxiety
medications before dressing changes
A nurse would suspect an inhalation injury with which of the following findings?
Select all that apply. - ANSWER✔✔ -History of burn occuring in an enclosed
space
-Carbonaceous sputum
-Stridor
-Singing of nasal hair
What is a reasonable option for pain management for a 50-year old man who has
just sustained 20% partial thickness burns to his right leg and abdomen? -
ANSWER✔✔ Fentanyl 50ug intravenously
A patient who was burned at 10am reports preburn weight of 154(70kg). The
estimate total body surface area burned is 60%. Using parkland/baxter formula, the
nurse verifies that the total amount of intravenous latated ringer solution to be
infused by 6pm on the day of the burn is which of the following. - ANSWER✔✔
8400.
, (70KG X 60 X 4ml=16,800/2 =
8400)
During a conversation about a pt, a new nurse states to the charge nurse, "his bp is
92/50, so he cant be in shock". Which responds by the charge nurse indicates that
the new nurse does not completely understand the symptoms of shock? -
ANSWER✔✔ Pts can have a near normal bp, yet sill have inadequate tissue
perfusion
A pt with a GI bleed arrives at the emergency room with the following vital signs:
Temp: 37.4, HR:112, RR:26, BP: 88/44. The nurse recognize that this pt is most
likely experiencing or at risk for which type of shock - ANSWER✔✔
Hypovolemic shock
A pt comes into the urgent care center complaining of SOB and dizziness after
being stung by a bee. The pts loss conscioussness in the wating room. The nurse
anticipates that which medication will be given? - ANSWER✔✔ Epinephrine IM
In early goal-directed therapy for shock, the nurse knows that which parameter is
the highest priority when evaluating effectiveness of therapy? - ANSWER✔✔
SVO2 and CVP
A pt develops low bp and tachycardia and is very agitated. The nurse remembers
that a central line was place 3 hours ago. The pt's lungs sounds are decreased at one
side, and the tach deviation is present. The nurse realizes that this pt is most likely
experiencing which type of shock? - ANSWER✔✔ Obstructive.
Rule of Nine:
Arms - ANSWER✔✔ 4.5% each side
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