Podcast
Questions and Answers
What is the minimum amount of UOP per hour for a burn patient?
What is the minimum amount of UOP per hour for a burn patient?
What is the most sensitive indicator of protein synthesis and catabolism in a burn patient?
What is the most sensitive indicator of protein synthesis and catabolism in a burn patient?
Prealbumin
What is the most important treatment for a patient hospitalized with moderate to severe carbon monoxide poisoning?
What is the most important treatment for a patient hospitalized with moderate to severe carbon monoxide poisoning?
What should the RN do if vitals signs change suddenly in a patient?
What should the RN do if vitals signs change suddenly in a patient?
Signup and view all the answers
What is the most common sign or symptom of a transfusion reaction?
What is the most common sign or symptom of a transfusion reaction?
Signup and view all the answers
What is the reason for giving a patient a loop diuretic?
What is the reason for giving a patient a loop diuretic?
Signup and view all the answers
What is the goal of therapeutic hypothermia?
What is the goal of therapeutic hypothermia?
Signup and view all the answers
What is the main purpose of captopril for a patient with stable angina?
What is the main purpose of captopril for a patient with stable angina?
Signup and view all the answers
What is the primary reason why a temporary pacemaker is indicated for third-degree heart block?
What is the primary reason why a temporary pacemaker is indicated for third-degree heart block?
Signup and view all the answers
The patient should avoid heavy lifting after total ankle replacement surgery.
The patient should avoid heavy lifting after total ankle replacement surgery.
Signup and view all the answers
A person with a history of a tetanus vaccination < 5 years ago needs a booster dose of tetanus toxoid (Tdap or Td) if they receive a clean minor wound.
A person with a history of a tetanus vaccination < 5 years ago needs a booster dose of tetanus toxoid (Tdap or Td) if they receive a clean minor wound.
Signup and view all the answers
A nurse is assessing a patient with a flail chest. The nurse is concerned about the patient's ventilation and would expect which assessment findings?
A nurse is assessing a patient with a flail chest. The nurse is concerned about the patient's ventilation and would expect which assessment findings?
Signup and view all the answers
What is the most common finding in a patient with an air leak in the chest tube drainage system?
What is the most common finding in a patient with an air leak in the chest tube drainage system?
Signup and view all the answers
After what time period should a patient be repositioned after a thoracotomy?
After what time period should a patient be repositioned after a thoracotomy?
Signup and view all the answers
The primary survey of a trauma patient includes which of the following parameters?
The primary survey of a trauma patient includes which of the following parameters?
Signup and view all the answers
A burn patient should NOT be washed with soap and water, instead, a sterile dressing change should be performed.
A burn patient should NOT be washed with soap and water, instead, a sterile dressing change should be performed.
Signup and view all the answers
What is a priority nursing intervention for a patient with a burn injury?
What is a priority nursing intervention for a patient with a burn injury?
Signup and view all the answers
A patient with a severe burn injury is experiencing a large air leak in the chest tube drainage system. What should the nurse do?
A patient with a severe burn injury is experiencing a large air leak in the chest tube drainage system. What should the nurse do?
Signup and view all the answers
What is the mnemonic used to assess and prioritize injuries during mass casualty incidents?
What is the mnemonic used to assess and prioritize injuries during mass casualty incidents?
Signup and view all the answers
The nurse is caring for a patient who has just undergone a total thyroidectomy. Which of the following is a priority nursing assessment for this patient?
The nurse is caring for a patient who has just undergone a total thyroidectomy. Which of the following is a priority nursing assessment for this patient?
Signup and view all the answers
Which of the following is a priority nursing intervention for a patient with a chest tube?
Which of the following is a priority nursing intervention for a patient with a chest tube?
Signup and view all the answers
Which of the following is a priority nursing intervention for a patient with a new tracheostomy?
Which of the following is a priority nursing intervention for a patient with a new tracheostomy?
Signup and view all the answers
Which of the following statements would the nurse include in the discharge instructions for a patient with a new tracheostomy?
Which of the following statements would the nurse include in the discharge instructions for a patient with a new tracheostomy?
Signup and view all the answers
A patient with chest tube drainage is experiencing continuous bubbling in the water-seal chamber. What should the nurse do?
A patient with chest tube drainage is experiencing continuous bubbling in the water-seal chamber. What should the nurse do?
Signup and view all the answers
Flashcards
Calcium Channel Blockers
Calcium Channel Blockers
Medications that block calcium channels, decreasing heart contractility and lowering blood pressure.
ACE Inhibitors
ACE Inhibitors
Medications that inhibit the Angiotensin-Converting Enzyme, decreasing blood pressure by relaxing blood vessels.
Chest Tubes
Chest Tubes
Flexible tubes used to remove air or fluid from the pleural space to help lungs expand.
Fluid Volume Deficit
Fluid Volume Deficit
Signup and view all the flashcards
Hyperkalemia
Hyperkalemia
Signup and view all the flashcards
Synchronized Cardioversion
Synchronized Cardioversion
Signup and view all the flashcards
Ventricular Tachycardia
Ventricular Tachycardia
Signup and view all the flashcards
End-Tidal CO2 Monitoring
End-Tidal CO2 Monitoring
Signup and view all the flashcards
Pneumothorax
Pneumothorax
Signup and view all the flashcards
Myocardial Injury
Myocardial Injury
Signup and view all the flashcards
Hypoglycemia
Hypoglycemia
Signup and view all the flashcards
Prealbumin
Prealbumin
Signup and view all the flashcards
Parenteral Nutrition
Parenteral Nutrition
Signup and view all the flashcards
Digitalis (Digoxin)
Digitalis (Digoxin)
Signup and view all the flashcards
Chest Tube Dislodgment
Chest Tube Dislodgment
Signup and view all the flashcards
Fluid Replacement
Fluid Replacement
Signup and view all the flashcards
Emergency Triage
Emergency Triage
Signup and view all the flashcards
Initial Postoperative Assessment
Initial Postoperative Assessment
Signup and view all the flashcards
Flail Chest
Flail Chest
Signup and view all the flashcards
GCS (Glasgow Coma Scale)
GCS (Glasgow Coma Scale)
Signup and view all the flashcards
Anticoagulants
Anticoagulants
Signup and view all the flashcards
Refeeding Syndrome
Refeeding Syndrome
Signup and view all the flashcards
DVT (Deep Vein Thrombosis)
DVT (Deep Vein Thrombosis)
Signup and view all the flashcards
Post-Operative Ileus
Post-Operative Ileus
Signup and view all the flashcards
Surgical Risk Factors
Surgical Risk Factors
Signup and view all the flashcards
Malnutrition
Malnutrition
Signup and view all the flashcards
Mechanical Ventilation
Mechanical Ventilation
Signup and view all the flashcards
Pain Management in Burns
Pain Management in Burns
Signup and view all the flashcards
Hypotension
Hypotension
Signup and view all the flashcards
Nutritional Support
Nutritional Support
Signup and view all the flashcards
High-Pressure Ventilation Support
High-Pressure Ventilation Support
Signup and view all the flashcards
Sedation Preoperative
Sedation Preoperative
Signup and view all the flashcards
Study Notes
Adult Health Exam 1 Study Notes
- Kahoot Topics: Calcium Channel Blockers, ACE Inhibitors, Chest Tubes, Chapter 17: Fluid and Electrolyte Balances, Chapter 18 - Preoperative Care, Chapter 19 - Intraoperative Care, Chapter 20 - Postoperative Care, Chapter 21 - Emergency and Disaster Nursing, Chapter 26 - Burns, Chapter 28 - Supporting Ventilation, Chapter 44 - Nutrition Problems, Chapter 67 - Musculoskeletal Trauma and Orthopedic Surgery
- Carbon Monoxide (CO) Poisoning: Symptoms range from dizziness to unconsciousness and death. CO has a much higher affinity for hemoglobin than oxygen. Treatment includes 100% oxygen administration as soon as possible. Myocardial injury is frequent in patients hospitalized with moderate to severe CO poisoning.
- Pseudocholinesterase Deficiency: Pts with this deficiency have reduced ability to metabolize succinylcholine and mivacurium, leading to slower recovery.
- End-Tidal CO2 Monitoring: Currently recommended for rapid verification of endotracheal tube (ET) placement. X-rays are the gold standard.
- Ineffective Cough: Causes include muscle weakness, impaired chest mobility, increased mucus viscosity, and ciliary dysfunction. Intubation may be needed when airway protection is compromised.
- Smoke and Soot Inhalation: Common injuries to the pulmonary tree causing respiratory difficulty.
- Prealbumin: Important for burn pts as a sensitive indicator of protein synthesis and catabolism.
- Early Enteral Nutrition: Benefits associated with decreasing pneumonia, mortality, ICU length of stay. Goal is to feed the gut within 24 hours.
- Lipids/Parenteral Nutrition (PN): Risks associated with PN include elevated blood sugar, infection, and volume overload. Monitor triglyceride levels during lipid administration. PN should not be given with propofol due to too many lipids.
- Ventricular Tachycardia: Rapid, life-threatening dysrhythmia originating from a single ectopic focus in the ventricles. Management includes assessment, pulse check, calling rapid response, and possible chemical or electrical cardioversion.
- Captopril: May cause hyperkalemia, angioedema, cough, renal insufficiency, flushing. The drug should be taken one hour before meals.
- Nurse's Role: For burn patients, ensure appropriate protective equipment use when entering the room.
- Chest Tubes/Pneumothorax/Hemothorax For chest tube complications, the water-seal chamber bubbling is normal and indicates that the suction control chamber is connected to suction. Continuous bubbling indicates an air leak and requires attention to the drainage system, not adjusting wall suction.
- Hyperkalemia: Associated with crushing injuries, can cause cardiac arrest. Requires immediate treatment.
- Flail Chest: Instability causing thorax to move inward during inspiration and outward during expiration. Mortality rate is 33%.
- Premature Ventricular Contractions (PVCs): Caused by an ectopic cardiac pacemaker in the ventricle. Management of mass casualty incidents involves color-coded triage systems.
- Furosemide: Used for high potassium.
- Diltiazem: calcium channel blocker that can cause bradycardia. Check an apical pulse before administration.
- Left Heart Failure: Often caused by coronary artery disease and hypertension. Pts may present with SOB, orthopnea, paroxysmal nocturnal dyspnea, and volume overload.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on essential nursing care practices and patient management techniques for conditions such as burns, carbon monoxide poisoning, and heart block. This quiz covers critical indicators, treatment protocols, and patient safety measures that every nurse should be familiar with.