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EXAM 3: NUR265/ NUR 265 ADVANCED
CONCEPTS OF MEDICAL -SURGICAL NURSING
EXAM | QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADE A – GALEN
QUESTION: What position is most important to maintain
maximum function of the hip joint for a 35-year-old male client admitted due to severe burns around his right hip?
Answer: A 35-year-old male client was admitted due to severe
burns around his right hip. Which position is most important to use to maintain the maximum function of this joint? Hip at zero flexion with leg flat
QUESTION: What is the acute phase of burns?
Answer: acute phase of burns Approx. 48-72 hours postinjury
until wounds close
QUESTION: What are interventions during the acute or
intermediate phase of burns?
Answer: Acute Phase or Intermediate Phase interventions
Promote wound healing Improve function of body systems (systemic response to burn injury) Nutritional support
QUESTION: What is the difference between AC and DC
electrical burns?
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Answer: AC vs DC electrical burns AC higherprobability
ofproducing cardiacarrest
QUESTION: What are the CDC criteria for AIDS?
Answer: AIDS cdc criteria CD4 count less than 200/microliter
QUESTION: What is anonymous testing for HIV?
Answer: Anonymous testing results only given to recipient if
positive, the name and result is reported to state CDC
QUESTION: What percentage of the body does the anterior rule
of nines cover?
Answer: anterior rule of nines 18%
QUESTION: What does antigen/antibody testing for HIV
involve?
Answer: Antigen/antibody testing HIV Test for p24 antigen/
HIV IgM & IgG antibodies Rapid testing available Detects 18- 45 days/Rapid test detects 18-90 days
QUESTION: What is antiretroviral therapy for HIV?
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Answer: antiretroviral therapy Multi-drug therapy reduces viral
loads, but are complex, have interactions, and do not work for everyone
QUESTION: What is the role of basophils in the immune
system?
Answer: basophils allergic response
QUESTION: What are biological dressings made of actual skin?
Answer: Biological Dressings: Actual skin Allograft(homograft) and xenograft (heterograft)
QUESTION: What are biosynthetic dressings made of
synthesized skin?Answer: Biosynthetic Dressing: Synthesized skin epiderma lreplacements (Epicel, Epidex, MySkin, etc.), Dermal substitutes (AlloDerm; Integra; TransCyte), and Bilayerdermo- epidermal substitutes (Apligraf, OrCel)
QUESTION: Which previous health problem related by a
burned client should alert the nurse to alter the fluid resuscitation plan?
Answer: The burned client relates the following history of
previous health problems. Which one should alert the nurse to
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the need for alteration of the fluid resuscitation plan?Myocardial infarction 1 year ago
QUESTION: What are characteristics of a burn wound?
Answer: burn wound characterisitcs depth, extent, body part
injured
QUESTION: What is carbon monoxide toxicity and how is it
managed?
Answer: carbon monoxide toxicity Closed area in the presence
of combusted gases 100% oxygen serial ABGs make sure your O2 sat matches the patients presentation
QUESTION: What are cardiovascular effects associated with
burns?
Answer: cardiovascular effects with burns tachycardia and
vasoconstriction dysrhythmias with electrical burns loss of intravascular volume decreased cardiac output and oxygen delivery
QUESTION: What does the CD4 cell count test measure?
Answer: CD4 cell count test normal value 500-1500 cells Shows
the strength of a patient's immune system This test can also tell whether a person has developed AIDS