Nur 265 emergency - Study guides, Class notes & Summaries
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ATI MEDSURG 2 NUR 265/DETAILED ANSWER KEY NEURO-SHOCK & BURNS PRACTICE 2024/2025.
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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...
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NUR 265 EXAM 1 QUESTIONS & ANSWERS 2023 2024 graded A
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NUR 265 EXAM 1 QUESTIONS & ANSWERS graded A 
What is pericarditis? 
- Inflammation/ infection of the periardial sac 
What are S/S of pericarditis? 
- Chest pain 
-Sharp, stabbing 
-Behind breast bone 
-Left side of chest 
-Elevated with tripod position 
-SOB-oxygen 
-Low grade temp 
-Relieved with positioning 
-worse on inspiration 
-pericardial friction rub 
What are S/S of endocarditis? 
-Fever- night sweats, malaise, chills, fatigue 
-Anorexia and weight loss 
-Cardiac murmur...
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NUR 265 Emergency Questions and Answers Latest Update 2023/2024
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NUR 265 PRACTICE QUESTIONS ANSWERS AND RATIONALES	 
Shock 
1.	16 mm Hg pulse pressure. 
The pulse pressure is the systolic BP minus the diastolic BP. 100 – 60 = 40 mm Hg pulse pressure in first BP reading 
88 – 64 = 24 mm Hg pulse pressure in second reading 40 – 24 = 16 mm Hg pulse pressure narrowing. 
A narrowing or decreased pulse pressure is an earlier indicator of shock than a decrease in systolic blood pressure. 
TEST-TAKING HINT: If the test taker is not aware of how to obtain a puls...
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NUR 265 Emergency Questions and Answers Latest Update 2023/2024
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NUR 265 PRACTICE QUESTIONS ANSWERS AND RATIONALES	 
Shock 
1.	16 mm Hg pulse pressure. 
The pulse pressure is the systolic BP minus the diastolic BP. 100 – 60 = 40 mm Hg pulse pressure in first BP reading 
88 – 64 = 24 mm Hg pulse pressure in second reading 40 – 24 = 16 mm Hg pulse pressure narrowing. 
A narrowing or decreased pulse pressure is an earlier indicator of shock than a decrease in systolic blood pressure. 
TEST-TAKING HINT: If the test taker is not aware of how to obtain a puls...
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Nur 265 Literally Exam 3. (Answered) Complete Solution
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Nur 265 Literally Exam 3. (Answered) Complete Solution 
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...
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NUR 265 EXAM 3 REVIEW
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NUR 265 EXAM 3 REVIEW 
#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 bleed out if they have a hemato...
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Nur 265 Literally Exam 3. (Answered) Complete Solution
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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...
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NUR 265 Exam 2 (2023/2024) 63 Questions and Answers.
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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...
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ATI MEDSURG 2 NUR 265/ DETAILED ANSWER KEY NEURO-SHOCK & BURNS PRACTICE
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NUR 265 Neuro-Shock & Burns practice Created on:11/26/2018 Page 1 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 cause a decrease in bl...
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Medsurge 2 NUR 265 Exam 2 Holmes Mock Answered (50 Questions with Answers) 100% Correct for 2024.
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Medsurge 2 NUR 265 Exam 2 Holmes Mock Answered (50 Questions with Answers) 100% Correct for 2024. 
Medsurge 2 NUR 265 Exam 2 Holmes Mock Answered. 
 
Question 1 2 / 2 pts 
The nurse notes each time the mechanical ventilator delivers a breath to a client with acute respiratory 
distress syndrome (ARDS), the peak inspiratory pressure alarm sounds. What is the nurse’s best 
intervention? 
a) Suction the client. 
b) Perform chest physiotherapy. 
c) Assess the airway. 
d) Raise the head of bed to ...
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