NUR 265 TEST 3 QUESTIONS AND CORRECT
CORRECT ANSWER WERS GUARANTEED
SUCCESS
- ways to determine the TBSA - Correct Answer rule of nine palmer method, lunds and
browder method
A client with a C7 injury is still able to - Correct Answer Lift the shoulders
A contusion is - Correct Answer A direct injury to the brain itself
A good client teaching for a C6 or above injury is too - Correct Answer deep breath to retrain the diaphragm
Acute subdural hematoma manifestations - Correct Answer Symptomatic with in 24-48 hours and the same as epidural hematoma with slower onset because of venous return
Acute subdural hematoma Onset - Correct Answer 24-48 hours
After a few days of the precipitating event, what are some other S&S of MODS - Correct Answer low grade fever, tachycardia, increasing cardiac contractility Increased neutrophils and dyspnea, increase o2 consumption mental status changes hyperglycemia, needs PEEP with in 7-10 day BUN bilirubin and creatinine levels increase, polyuria
All shock is caused by - Correct Answer inadequate tissue perfusion
An elevated temperature with a brain injury - Correct Answer Increases metabolic demands of the brain and increases the risk for hypoxia
Assessment of pupillary response - Correct Answer unilateral = compressed CN 3 Fixed = midbrain damage (not a good sign) Pinpoint = pons damage
basilar skull fracture - Correct Answer occurs in bones over the base of the frontal lobe and temporal lobes
Besides a hyperbaric chamber how would you admin o2 to a client with CO poisoning - Correct Answer 100% O2 with a non-rebreather
biggest NI to do for a patient with CO poisoning - Correct Answer Assess for hypoxemia, oxygenate
Bleeding from a Epidural hematoma is usually - Correct Answer continuous and a large clot forms which separates the dura from the skull 1 / 3
Cardiovascular interventions during hospitalization - Correct Answer monitor for cardiac dysrhythmias, S&S of shock, assess fracture site for bleeding, asses for DVT, monitor for orthostatic HTN when repositioning
Central herniation - Correct Answer displacement of the diencephalon through the tentorial notch
Cerebral edema is - Correct Answer Fluid in the brain
Characteristic of 2end degree - Correct Answer wet blisters red in color affects the dermis and epidermis AKA partical thickness burn
Characteristics for 4th degree burns - Correct Answer dermis epidermis and Sub Q is destroyed reaching muscles and bones
Characteristics od 3rd degree - Correct Answer damage to the dermis and epidermis reaching to the sub Q Dry mottled colors black, red, white, brown, painless, pressure (can cause contractures) hypertrophic scarring
Characteristics of 1st degree - Correct Answer red, painful heals quick superficial
Chemical burns should be irrigated until - Correct Answer 20 minutes or the burn sensation continues after the 20 minute marker
Chemical burns should be irrigated untill - Correct Answer 20 minutes or until the burning sensation stops after the minute marker
Chronic Subdural Hematoma is most common in - Correct Answer An Older adult client and alcoholics because of atrophy of the brain which causes stretching of the veins
Chronic Subdural Hematoma onset - Correct Answer weeks or months
Chronic Subdural Hematomas manifestations - Correct Answer Gradual neurologic deterioration s/a drowsy, incoherent, inattentive personality changes.
Classification of the subdural hematoma is based on - Correct Answer how fast manifestation occur
clients who experience slow blood loss can - Correct Answer Tolerate the blood loss better then a client with rapid blood loss
Clients with a traumatic brain injury usually have injury to other areas like what? - Correct Answer C-Spine heart, lungs, facial structures, abdomen, bones
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Clinical Manifestation of early complete trCorrect Answerection of SCI - Correct Answer immediate paralysis below the level of injury, hypotension, loss of temperature control
colloids are contraindicated in what 2 conditions - Correct Answer Burns and septic shock RT capillary damage
Contusion can be from contrecoup injuries which is - Correct Answer an effected area of the brain that is on the opposite side on POI
Cushing Triad - Correct Answer increase systolic pressure with widening pulse pressure and bradycardia
Cushing triad is - Correct Answer A late result of ICP
decerebrate posturing - Correct Answer brainstem lesion
decorticate posturing in brain injury - Correct Answer nonfunctioning cortex
Depressed skull fracture - Correct Answer can be palpated and are seen on x ray
Depressed skull fracture injure the brain by - Correct Answer bruising it or driving bone fragments into the brain
Diffuse axonal injury - Correct Answer most severe form of head injury... three types mild, moderate, severe
Diffused brain injury - Correct Answer Involves the tissue of the entire brain
During compensatory stage of shock, why would you hear hypoactive bowl sounds and cool and clammy skin - Correct Answer Body shunting blood from skin, kidneys and GI to provide adequate blood volume to the brain and heart
During immobilization of C spine injury, how would you maintain traction and alignment of the head - Correct Answer Place hands by ears on both sides of the head
Early manifestation of central herniation - Correct Answer Rapid changes in LOC
Epidural hematoma occurs from injury to the - Correct Answer Cerebral blood vessels most commonly middle meningeal artery
Example of a diffused brain injury - Correct Answer concussion - resulting loss of consciousness for 5 minutes or less
Example of focal brain injury - Correct Answer Epidural hematoma, subdural hematoma, Intracerebral hematoma
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