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VN 42 Med Surg 3 > MIDTERM > Flashcards

MIDTERM Flashcards

1
Q
  1. Early signs of shock
A

 Change in LOC

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2
Q
  1. Hypovolemic shock medical management (you saw this question on my exam)
A

• Type O
• 0.9% Normal Saline (isotonic solution)
- Monitor for hypothermia.
- Supine with her feet slightly elevated
- 3:1 ratio

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3
Q
  1. Manifestations of MOST forms of shock
A

 Hypotension
 Tachycardia
 Low urine output
 Cool and clammy skin

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4
Q
  1. Evaluation outcomes for hypovolemic shock (you saw this question on my exam)
A

• Urinary output within normal range***
• Normal Vital Signs

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5
Q
  1. Hypovolemic shock causes
A

-Blood or plasma loss*
-surgery, trauma
-birth, fluids loss
-burns, large draining wound,
-prolonged GI suctioning
-disorder such as diabetes insipidus.

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6
Q
  1. Skin grafting client education and nursing actions (you saw this question on my exam)
A

Client education
• First 2-4 weeks restrict movements for a period.
• Wear warm clothing.

Nursing actions
• Prescribe analgesic.
• Monitor infection.

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7
Q
  1. Manifestations of septic shock (you saw this question on my exam)
A

• Rapid, bounding pulse

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8
Q
  1. Anthrax nursing actions (you saw this question on my exam)
A
  • Biological Disaster
  • Ciprofloxacin (treatment)
  • Standard precautions
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9
Q
  1. Cyanide exposure medical management (you saw this question on my exam)
A

 Administer cyanide antidote: amyl nitrite, sodium nitrite IV route, intravenous sodium thiosulfate.

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10
Q
  1. Radiological disaster nursing considerations (you saw this question on my exam)
A

 Priority will be to direct client to decontamination area

-Remove all outer garment before entering a house or shelter.

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11
Q
  1. Chemical disaster nursing considerations (you saw this question on my exam)
A

Higher ground (Stand up)

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12
Q
  1. Spinal shock criteria and complications and nursing considerations (you saw this question on my exam)
A

 Complication: Autonomic dysreflexia(T4), orthostatic hypotension, DVT

 Spinal shock can last for a week to months until body adjusts to the damage caused by the injury.

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13
Q
  1. Botulism manifestation/nursing considerations (you saw this question on my exam)
A

 Paralysis of respiratory muscles

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14
Q
  1. Smallpox manifestations (you saw this question on my exam)
A

Biological disaster
- Like chickenpox lesions

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15
Q
  1. Two types of disasters (you saw this question on my exam)
A

 Natural and Human

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16
Q
  1. How does the nurse assess for CSF? (You saw this question on my exam)
A

Clear drainage from nose-look for halo sign

17
Q
  1. Nursing considerations for prevention of thrombi? (You saw this question on my exam)
A

 Keep the client hydrated.

18
Q
  1. What area of the body if burned puts clients at greatest risk for infection?
A

Perineal area

VN 42 Med Surg 3 (13 decks)

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