Nur 265 emergency - Study guides, Class notes & Summaries

Twelve hours after the client was initially burned, bowel sounds are absent in all four abdominal quadrants. Which is the nurse's best action? - Correct Answer -Document the findings Why? Decreased or absent peristalsis is an expected response during the emergent phase of burn injury as a result of neural and hormonal compensation to the stress of injury. No currently accepted intervention changes this response. It is not the highest priority of care at this Three days after a burn inju...

Nur 265 Literally Exam 3. (Answered) Complete Solution #1: The nurse is working in the emergency department (ED) is admitting a client who has sustained a traumatic brain injury (TBI) following a motor vehicle crash. It is priority for the nurse to notify the primary healthcare provider (PHCP) in the client: Takes prescribed warfarin daily. RATIONALE: Pg. 2400. Hemorrhage may occur as part of the primary injury and begin at the moment of impact. Warfarin is a blood thinner and the patient may...

ATI MEDSURG 2 NUR 265/ DETAILED ANSWER KEY NEURO- SHOCK & BURNS PRACTICE QUESTIONS & ANSWERS 2024 1. A nurse in the emergency department is implementing a plan of care for a conscious client who has a suspected cervical cord injury. Which of the following immediate interventions should the nurse implement? (Select all that apply.) A. Hypotension B. Polyuria C. Hyperthermia D. Absence of bowel sounds E. Weakened gag reflex Rationale: <b>Hypotension is correct.</b> Lack of s...

ATI MEDSURG 2 NUR 265/DETAILED ANSWER KEY NEURO-SHOCK & BURNS PRACTICE 2024/2025. 1. A nurse in the emergency department is implementing a plan of care for a conscious client who has a suspected cervical cord injury. Which of the following immediate interventions should the nurse implement? (Select all that apply.) A. Hypotension B. Polyuria C. Hyperthermia D. Absence of bowel sounds E. Weakened gag reflex Rationale: <b>Hypotension is correct.</b> Lack of sympathetic input c...

ATI MEDSURG 2 NUR 265/DETAILED ANSWER KEY NEURO-SHOCK & BURNS PRACTICE 1. A nurse in the emergency department is implementing a plan of care for a conscious client who has a suspected cervical cord injury. Which of the following immediate interventions should the nurse implement? (Select all that apply.) A. Hypotension B. Polyuria C. Hyperthermia D. Absence of bowel sounds E. Weakened gag reflex Rationale: <b>Hypotension is correct.</b> Lack of sympathetic input can ...

Nur 265 Literally Exam 3. (Answered) Complete Solution #1: The nurse is working in the emergency department (ED) is admitting a client who has sustained a traumatic brain injury (TBI) following a motor vehicle crash. It is priority for the nurse to notify the primary healthcare provider (PHCP) in the client: Takes prescribed warfarin daily. RATIONALE: Pg. 2400. Hemorrhage may occur as part of the primary injury and begin at the moment of impact. Warfarin is a blood thinner and the patient may...

NUR 265 Exam 2 How is an ET tube placement confirmed? - Correct Answer -From first to last ETCO2 20-40mmHg Chest symmetry Listen to left/right/abdomen Chest X-Ray Describe the A/C vent mode. - Correct Answer -The vent does everything for the patient. It delivers a set amount of breaths per minute Describe SIMV vent mode. - Correct Answer -The pt attempts to breath and the vent assists with their breaths What are the different ventilator settings? - Correct Answer -Mode FiO2 Rate Tida...

NUR 265 Unit 7 and 8 Exam 3 Practice Latest Review 2023 Practice Questions and Answers, 100% Correct with Explanations, Highly Recommended, Download to Score A+ exam 3 practice Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. The nurse is caring for a client with an acute burn injury. Which action should the nurse take to prevent infection by autocontamination? a. Use a disposable blood pressure cuff to avoid sharing with other clien...

MEDSURG 2 NUR 265 Exam 3-Burns:Shock test Chapter 26 1. The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client? a. Administer the prescribed tetanus toxoid vaccine. b. Assess the clients wounds for signs of infection. c. Encourage the client to breathe deeply every hour. d. Wash your hands on entering the clients room. ANS: D Infection can occur when microorganisms from...