Exam 2: NUR 2755 / NUR2755
(Latest 2024 / 2025) Multidimensional Care IV / MDC 4 | Exam Questions and Verified Answers | 100% Correct | Grade A - Rasmussen
Question:
A client was admitted to the emergency department with a full thickness burn to the right arm. Upon assessment, the arm is edematous, fingers are mottled, and Radial pulse is now absent. Which of the following should the nurse perform?
Answer:
Call the healthcare provider (HCP) to report the loss of the Radial pulse
Question:
A client is treated in the emergency department (ED ) for shock of unknown etiology. The first action by the nurse is which of the following?
Answer:
Assess for airway patency
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Question:
A 30-year-old female patient sustained deep partial-thickness burns on the anterior right leg, anterior right arm, anterior chest, and anterior abdomen at 2100 while starting a bonfire. The patient weighs 65 kg. Use the Parkland Burn Formula (4) to calculate the rate during the FIRST hours (mL/) after the burn if the patient arrives at the ER at 2200 ( Type as numeric only )
Answer:
585 ml/hr
Question:
A nurse is caring for a client in shock. The nurse understands the patient's sympathetic nervous system is no longer effectively compensating when which of the following is assessed?
Answer:
Vasodilation
Question:
To determine if a client is ready to be weaned from the ventilator, the nurse must first confirm which of the following findings?
Answer:
The client has adequate ventilatory muscle strength
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Question:
A client presents to the emergency department after receiving second and third-degree burns from a kitchen grease spill. The areas of injury were the tops of both thighs, the groin area, and the lower abdomen. About three hours later, he begins to decompensate and is being prepped for intubation.Regarding the change in status, which explanation of the nurse is correct when educating the client's family?
Answer:
Even a burn as little as 25 % of the body can cause a systemic response, requiring emergency management.
Question:
A nurse is assessing four clients. Which of the following clients should the nurse assess first?
Answer:
A client that has self-extubated his endotracheal (ET) tube
Question:
While planning care for a client with a pulmonary embolism, the nurse understands which of the following is the best identifier to ensure adequate tissue perfusion?
Answer:
Lung sounds are clear to auscultation
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