Nur 265 exam 3 - Study guides, Class notes & Summaries
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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
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-decreased LOC(lethargy to coma) 
-restlessness, irritability, confusion 
-headache 
-projectile N&V 
-change in speech pattern/slurred speech 
-dilated nonreactive pupils or constructed nonreactive pupils 
-ataxia 
-seizure 
-abnormal posturing 
-Cushing's triad: severe HTN, widened pulse pressure, bradycardia 
Key sx of increased ICP 
- Symptoms of increased ICP 
-severe HTN, widened pulse pressure, bradycardia 
What is Cushing's triad 
- Most at risk during 1st 72 hours after stroke onset 
...
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NUR 265 Exam 3
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What is encephalitis? - inflammation or infection of the brain 
What causes encephalitis? - West Nile Virus 
Herpes 
What are the s/s of encephalitis? - High fever, N/V, stiff neck 
Flu like symptoms 
change in LOC 
photophobia 
pupil changes (dilate & less responsive to light) 
What is used to dx encephalitis? - lumbar puncture 
EEG 
CT (looks for mass) 
What are N/I for encephalitis? - Neuro checks 
Monitor for s/s of ICP 
Suction only resp compromised 
HOB 30-45 
Decrease stimuli 
What is the...
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NUR265/ NUR 265 Exam 1,Exam 2,Exam 3 & Exam 4: (2024/ 2025 Updates BUNDLE WITH SOLUTIONS) Advanced Med-Surg | Reviews with Questions and Verified Answers| 100% Correct- Galen
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NUR265/ NUR 265 Exam 1,Exam 2,Exam 3 & Exam 4: (2024/ 2025 Updates BUNDLE WITH SOLUTIONS) Advanced Med-Surg | Reviews with Questions and Verified Answers| 100% Correct- Galen
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Exam 3: NUR265/ NUR 265 (Latest 2023/ 2024 Update) Advanced Concepts of Medical-Surgical Nursing Exam | Questions and Verified Answers| 100% Correct| Grade A - Galen
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Exam 3: NUR265/ NUR 265 (Latest 2023/ 2024 Update) Advanced Concepts of Medical-Surgical Nursing Exam | Questions and Verified Answers| 100% Correct| Grade A - Galen 
 
Q: Which finding indicates to the nurse that a client with a burn injury has a positive perception of his appearance? 
 
 
Answer: 
Performing his own morning care. 
 
Indicators that the client with a burn injury has a positive perception of his appearance includes the willingness to touch the affected body part. Self-care activ...
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Galen College of Nursing - MEDSURG 2 NUR 265 EXAM 3 - TEST BANK (All Correct)
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Galen College of Nursing - MEDSURG 2 NUR 265 EXAM 3 - TEST BANK (All Correct) 
 
 
 
Chapter 26: Care of Patients with Burns 
Ignatavicius: Medical-Surgical Nursing, 8th Edition 
 
MULTIPLE CHOICE 
	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 client’s wounds for signs of infec...
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NUR 265 Exam 2 Study Guide 2023 With Complete 100%Correct Solutions.
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NUR 265 Exam 2 Study Guide 2023 With Complete 100%Correct Solutions. 
NUR 265 Exam 2 Study Guide 
Lungs Physiology 
 2 Pleural, 1 attached to outside of lungs and 1 attached to inside of ribs. 
 Space between the 2 pleural is negative to atmosphere 
 When inhale becomes more positive and atmosphere more negative. Exhaling is passive 
 Most of lower lobes are posterior, must listen to lungs posteriorly 
 Breath sounds 
o Bronchial: High pitched & loud, normal in tracheal & larynx 
...
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TEST BANK - MEDSURG 2 NUR 265 EXAM 3 - Galen College of Nursing
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TEST BANK - MEDSURG 2 NUR 265 EXAM 3 - Galen College of Nursing
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MEDSURG 2 NUR 265 EXAM 3-with 100% verified solutions-2023-2024
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MEDSURG 2 NUR 265 EXAM 3-with 100% verified solutions-2023-2024
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