MDC IV - Final Exam with Complete Solution. 2022/2023. Rated A+

MDC IV - Final Exam with Complete Solution Moist heat Correct Answer- Which treatment for frostbite is appropriate? Vigerously rubbing the skin Moist heat Dry heat Tightly wrapping skin to retain warmth Move pt to ...

MDC IV - Final Exam with Complete Solution Moist heat Correct Answer- Which treatment for frostbite is appropriate? Vigerously rubbing the skin Moist heat Dry heat Tightly wrapping skin to retain warmth Move pt to a shady area and wet his clothes with water Correct Answer- Which choice is the best treatment for heat exhaustion Have the pt lie down in the bleachers Move pt to a shady area and wet his clothes with water Offer an umbrella or a hat for shade Give him a cold soda to drink Breathing Correct Answer- When assessing a pt in the ER, what is the priority? Hemorrhage Mobility Breathing Ecchymosis Remove clothing and linen Correct Answer- What is the quickest way to cool body temperature? Provide iced drinks Apply wet washcloth to forehead Sponge bathsRemove clothing and linen Diminished breath sounds Correct Answer- Which of the following symptoms would be expected in a pt with a pneumothorax? Bradycardia Normal O2 Saturation Diminished breath sounds Sucking sound at the injury site Ventilate the pt manually Correct Answer- What is an appropriate action to take if a ventilator malfunctions? Ventilate the pt manually Start CPR Administer O2 per Trach cannula Check VS Increased resp rate Correct Answer- What is the early sign of ARDS? Wheezes Crackles Cyanosis Increased Resp rate Nail bed pressure Correct Answer- How do you assess motor function in an unconscious client? Nail bed pressure Iced saline to the inner earSternal rub Pinching the pt in the inner thigh Adhering to a strict bowel retraining program Correct Answer- Which intervention can minimize the risk of autonomic dysreflexia? Provide tight clothing for support Adhering to a strict bowel retraining program Limit straight cathing to bid Placing an adult depends on an incontinent pt approach the client from the impaired side Correct Answer- Interventions for a pt with homonymous hemianopsia include all of the following except Discourage pt from using eye glasses to correct the problem approach the client from the impaired side Move objects to the patients field of vision Remind client to turn their head to scan the room Recent respiratory infection Correct Answer- One risk of Guillain Barre syndrome that can cause an exacerbation is Recent respiratory infection high caffeine intake Traveling on an airplane Daily walks of greater then 20 minutes Positive Brudzinski sign Correct Answer- Which of the following is a sign of meningitis? GCS score of 15Positive Brudzinski sign Negative Kernig sign Absence of nuchal rigidity DMAT is a federal position, the license is good in all 50 states Correct Answer- How is a nurses licenses affected if they are on a DMAT team? RN must get a licenses in every state they wish to work in DMAT does not require a nursing license DMAT is a federal position, the license is good in all 50 states I have no idea what DMAT is, better look it up Penrose drain Correct Answer- Which type of surgical drain works with gravity Penrose drain Hemovac JP drain Wound vac Internal rotation and adduction of arms / flexion elbows, wrists, fingers Correct Answer- What are the signs of decorticate posturing? Back hunched over and rigid flexion of all four extremities Supination of arms and dorsiflexion of the feet Back arched and rigid extension of all four extremities Internal rotation and adduction of arms / flexion elbows, wrists, fingers Carbon monoxide poisoning Correct Answer- Cherry red lips are a sign ofCarbon monoxide poisoning MI CVA COPD Hyperkalemia Correct Answer- Extensive tissue damage after a burn can result in ? Hypercalcemia Hypernatremia Hyperkalemia Hypokalemia Cardiogenic Correct Answer- Which type of shock can occur after an MI Hypovolemic Cardiogenic Septic Neurogenic 28 ml/ min Correct Answer- An order states Infuse NS 1000 ml over 6 hours with a gtt factor of 10 What is the rate? 32 ml / hr 32 ml /min 28 ml/ min 28 ml / hr False Correct Answer- The parkland formula is TBSA of burn x wt in KG / 4.True False false, the E stands for exposure Correct Answer- The E in the primary survey stands for Exhale. True False make sure it's open/patent! jaw-thrust maneuver intubation cervical spine stabilization artificial airway Correct Answer- Assessment findings/interventions that relate to A for Airway (primary survey) lung sounds chest tube tracheal deviation (tension pneumothorax) asymmetrical chest movement (pneumothorax) paradoxical chest movement (flail chest) Correct Answer- Assessment findings/interventions that relate to B for Breathing (primary survey) needle decompression followed by a chest tube Correct Answer- Interventions for a tension pneumothorax IV fluids vasoconstrictors (norepi, dopamine) blood productsassess BP, cap refill, pulses Correct Answer- Assessment findings/interventions that relate to C for Circulation (primary survey) temperature - hypothermia/hyperthermia remove clothing Correct Answer- Assessment findings/interventions that relate to E for Exposure (primary survey) neurological status are they awake? respond to voice? respond to pain? Glasgow coma scale (<8 indicates coma) Correct Answer- Assessment findings/interventions that relate to D for Disability (primary survey) warm with friction - that can cause more damage to the tissue Correct Answer- Treatment for frostbite include all except: warm bath administer tetanus vaccine IV Hydration Warm with friction 1 - redness 2 - fluid-filled, milky blisters 3 - bloody blisters 4 - tissue necrosis Correct Answer- 4 Stages of Frostbite hot skin, oliguria, ALOC Correct Answer- Clinical manifestations