Nursing Care and Patient Management Quiz
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Questions and Answers

What is the minimum amount of UOP per hour for a burn patient?

  • 10 ml
  • 40 ml
  • 30 ml (correct)
  • 20 ml
  • 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?

  • Administering IV fluids for hydration
  • Administering medications to increase heart rate
  • Providing mechanical ventilation
  • Administering 100% O2 breathing ASAP (correct)
  • What should the RN do if vitals signs change suddenly in a patient?

    <p>Assess the patient's blood pressure and heart rate. (C)</p> Signup and view all the answers

    What is the most common sign or symptom of a transfusion reaction?

    <p>Fever (D)</p> Signup and view all the answers

    What is the reason for giving a patient a loop diuretic?

    <p>To relieve fluid overload (B)</p> Signup and view all the answers

    What is the goal of therapeutic hypothermia?

    <p>To reduce mortality after global ischemia (A)</p> Signup and view all the answers

    What is the main purpose of captopril for a patient with stable angina?

    <p>To reduce the risk of ventricular remodeling (A)</p> Signup and view all the answers

    What is the primary reason why a temporary pacemaker is indicated for third-degree heart block?

    <p>To prevent the heart from beating too slowly (A)</p> Signup and view all the answers

    The patient should avoid heavy lifting after total ankle replacement surgery.

    <p>True (A)</p> 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.

    <p>False (B)</p> 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?

    <p>tachypnea and decreased breath sounds (A)</p> 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?

    <p>continuous bubbling in the suction control chamber (A)</p> Signup and view all the answers

    After what time period should a patient be repositioned after a thoracotomy?

    <p>As soon as the patient safely can (C)</p> Signup and view all the answers

    The primary survey of a trauma patient includes which of the following parameters?

    <p>Airway, breathing, circulation, disability, exposure (A)</p> 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.

    <p>False (B)</p> Signup and view all the answers

    What is a priority nursing intervention for a patient with a burn injury?

    <p>Administer IV fluids at a specific rate based on TBSA and body weight (A)</p> 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?

    <p>Clamp the distal end of the chest tube (B)</p> Signup and view all the answers

    What is the mnemonic used to assess and prioritize injuries during mass casualty incidents?

    <p>START</p> 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?

    <p>Monitor the patient's respiratory rate (A)</p> Signup and view all the answers

    Which of the following is a priority nursing intervention for a patient with a chest tube?

    <p>Monitor the amount of drainage (A)</p> Signup and view all the answers

    Which of the following is a priority nursing intervention for a patient with a new tracheostomy?

    <p>Observe the tracheostomy site for bleeding (B)</p> 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?

    <p>It is important to have regular follow-up appointments with your doctor (A), It is important to keep a list of emergency contact numbers and where to obtain supplies (B), You should learn how to suction your tracheostomy (D)</p> 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?

    <p>Continue to monitor the drainage system (A)</p> Signup and view all the answers

    Flashcards

    Calcium Channel Blockers

    Medications that block calcium channels, decreasing heart contractility and lowering blood pressure.

    ACE Inhibitors

    Medications that inhibit the Angiotensin-Converting Enzyme, decreasing blood pressure by relaxing blood vessels.

    Chest Tubes

    Flexible tubes used to remove air or fluid from the pleural space to help lungs expand.

    Fluid Volume Deficit

    A condition where body fluids are insufficient, leading to dehydration or hypovolemia.

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    Hyperkalemia

    An elevated level of potassium in the blood, which can lead to dangerous heart rhythms.

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    Synchronized Cardioversion

    A procedure that restores a normal heartbeat by delivering a shock in sync with the heart's rhythm.

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    Ventricular Tachycardia

    A fast, life-threatening heart rhythm originating in the ventricles, often requiring intervention.

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    End-Tidal CO2 Monitoring

    A monitoring method to assess the level of carbon dioxide in exhaled air, important for verifying airway placement.

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    Pneumothorax

    Air in the pleural space, leading to lung collapse, often treated with a chest tube.

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    Myocardial Injury

    Damage to the heart muscle, commonly due to lack of oxygen, such as in carbon monoxide poisoning.

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    Hypoglycemia

    Low blood sugar levels that can lead to symptoms like shakiness and confusion.

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    Prealbumin

    A protein used to assess protein synthesis and nutritional status, especially in burn patients.

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    Parenteral Nutrition

    Nutrition provided through IV, bypassing the gastrointestinal tract.

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    Digitalis (Digoxin)

    A medication used to treat heart conditions by improving heart contractility.

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    Chest Tube Dislodgment

    When a chest tube is accidentally removed, necessitating coverage with a sterile occlusive dressing.

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    Fluid Replacement

    Essential for patients with fluid deficits, commonly done with IV solutions such as Ringer's or Saline.

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    Emergency Triage

    The process of prioritizing patients based on the severity of their condition during emergencies.

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    Initial Postoperative Assessment

    Includes monitoring vital signs, pain level, and airway patency in the PACU.

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    Flail Chest

    A condition caused by multiple rib fractures resulting in chest wall instability.

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    GCS (Glasgow Coma Scale)

    A scale used to assess consciousness levels; a score of 8 or below indicates severe impairment.

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    Anticoagulants

    Medications that prevent blood clotting, requiring careful management before surgery.

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    Refeeding Syndrome

    A dangerous condition that can occur when feeding is resumed in malnourished patients, leading to severe electrolyte imbalances.

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    DVT (Deep Vein Thrombosis)

    Formation of a blood clot in a deep vein, usually in the legs; can lead to serious complications.

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    Post-Operative Ileus

    Temporary impairment of bowel function after surgery leading to abdominal distension and discomfort.

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    Surgical Risk Factors

    Age, comorbidities, medications, and lifestyle factors affecting surgical outcomes.

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    Malnutrition

    Deficient nutrition resulting from inadequate intake, absorption, or utilization of nutrients.

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    Mechanical Ventilation

    A method to assist or replace spontaneous breathing using machines; carefully monitored by nurses.

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    Pain Management in Burns

    Includes pharmacological and non-pharmacological approaches to treat pain from burn injuries.

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    Hypotension

    Abnormally low blood pressure that may require intervention in critically ill patients.

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    Nutritional Support

    Providing essential calories and nutrients, either enterally or parenterally to improve recovery outcomes.

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    High-Pressure Ventilation Support

    Used in patients with severe respiratory distress or failure and may require intubation.

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    Sedation Preoperative

    Medications given to relax patients before surgery, aiming to reduce anxiety and discomfort.

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    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.

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    Adult Health 4 - Exam 1 PDF

    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.

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