NUR 2241 FINAL EXAM GUIDE 2024/2025 COMPLETE STUDY
QUESTIONS WITH CORRECT ANSWERS GUARANTEED PASS |
RATED A+
Following an earthquake, patients are triaged by emergency
medical personnel and transported to the emergen
...
NUR 2241 FINAL EXAM GUIDE 2024/2025 COMPLETE STUDY
QUESTIONS WITH CORRECT ANSWERS GUARANTEED PASS |
RATED A+
Following an earthquake, patients are triaged by emergency
medical personnel and transported to the emergency
department (ED). Which patient will the nurse need to assess
first?
a. A patient with a red tag
b. A patient with a blue tag
c. A patient with a black tag
d. A patient with a yellow tag - Answer>>> a. A patient with a red tag
Which finding would indicate to the nurse that the patient is at increased
risk for poor wound healing?
A. Potassium 3.5 mEq/L
B. Albumin level 2.2 g/dL
C. Hemoglobin 11.2 g/dL
D. White blood cells 11,900/L - Answer>>> B. Albumin level 2.2 g/dL
Because proteins are needed for appropriate inflammatory response and wound healing, the low
serum albumin level (normal level 3.5 to 5.0 g/dL) indicates a risk for poor wound healing.
A patient has the following risk factors for melanoma. Which risk factor
should the nurse assign as the priority focus of patient teaching?
A. The patient has multiple dysplastic nevi.
B. The patient is fair-skinned and has blue eyes.
C. The patient's mother died of a malignant melanoma.
D. The patient uses a tanning booth throughout the winter. - Answer>>> D. The patient uses a
tanning booth throughout the winter.
Because the only risk factor that the patient can change is the use of a tanning booth, the nurse
should focus on teaching about melanoma prevention on this factor. The other factors also will
contribute to increased risk for melanoma
A patient has just been admitted with a 40% total body surface area
(TBSA) burn injury. To maintain adequate nutrition, the nurse should plan
to take which action?
A. Insert a feeding tube and initiate enteral feedings.
B. Infuse total parenteral nutrition via a central catheter.
C. Encourage an oral intake of at least 5000 kcal per day.
D. Administer multiple vitamins and minerals in the IV solution. - Answer>>> A. Insert a
feeding tube and initiate enteral feedings.
Enteral feedings can usually be initiated during the emergent phase at low rates and increased
over 24 to 48 hours to the goal rate. During the emergent phase, the patient will be unable to eat
enough calories to meet nutritional needs and may have a paralytic ileus that prevents adequate
nutrient absorption.
During the emergent phase of burn care, which assessment will be
Most useful in determining whether the patient is receiving adequate fluid
infusion?
A. Check skin turgor.
B. Monitor daily weight.
C. Assess mucous membranes.
D. Measure hourly urine output. - Answer>>> D. Measure hourly urine output.
When fluid intake is adequate, the urine output will be at least 0.5 to 1 mL/kg/hour
The current phase of a patient's treatment for a burn injury prioritizes
wound care, nutritional support, and prevention of complications such
as infection. Based on these care priorities, the patient is in what phase
of burn care?
A) Emergent
B) Immediate resuscitative
C) Acute
Rehabilitation - Answer>>> C) Acute
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