NR 340 Week 3 Evolve Questions & Answers

QUESTION: What is the therapeutic effect of head-of-the-bed elevation and neutral head and neck alignment on increased intracranial pressure (ICP)? . QUESTION: Under normal circumstances the cerebral vasculature exhib ...

QUESTION: What is the therapeutic effect of head-of-the-bed elevation and neutral head and neck alignment on increased intracranial pressure (ICP)? . QUESTION: Under normal circumstances the cerebral vasculature exhibits pressure and chemical autoregulation. What happens when autoregulation is lost? QUESTION: The nurse is monitoring a patient’s intracranial pressure (ICP). While the nurse is provQuestioning hygiene measures, she observes that the ICP reading is sustained at 18 mm Hg. What is the priority nursing action? QUESTION: Herniation syndromes can be life-threatening situations. Which syndrome causes the supratentorial contents to shift downward and compress vital centers of the brainstem? QUESTION: In a patient with increased intracranial pressure (ICP), which of the following cranial …….. and eye movement? QUESTION: The nurse is managing the blood pressure of a patient with a traumatic brain injury. When planning the care of this patient, which statement best represents appropriate blood pressure management? QUESTION: The nurse is caring for a patient with a ruptured cerebral aneurysm……… What is the best interpretation of this finding by the nurse? QUESTION: The nurse is caring for a patient admitted with a spinal cord injury. Upon assessment, the nurse notes a complete loss of motor and sensory function below the patient’s nipple line. What is the best understanding of this assessment finding by the nurse? QUESTION: The nurse is preparing to admit a patient from the ED who has sustained a complete spinal cord lesion at the C5 level. When planning the patient’s care, which nursing intervention is most important? QUESTION: The nurse is caring for a patient with an assessed Glasgow Coma Scale score of 3. What is the best understanding of this finding? QUESTION: Autonomic dysreflexia is characterized by an exaggerated response of the sympathetic nervous system to a variety of stimuli. Common causes of autonomic dysreflexia include: (Select all that apply.) QUESTION: Which statements best represent optimal fluQuestion administration for the management of increased intracranial pressure? (Select all that apply.) Questions → QUESTION: Your patient was a passenger in a motor vehicle crash yesterday and suffered an open fracture of the femur. His condition was stable until an hour ago, when he began to complain of shortness of breath. His heart rate is 104 beats/min, respiratory rate is 30 breaths/min, BP is 90/60 mm Hg, and temperature is now 38.4° C. You suspect that he: QUESTION: Poor patient outcomes after a traumatic injury are associated with: QUESTION: Which condition is a common cause of death after chest trauma? QUESTION: A trauma patient with a fractured forearm complains of extreme, throbbing pain at the fracture site and paresthesia in the fingers. Upon further assessment, you note that the forearm is extremely edematous and you are now having difficulty palpating a radial pulse. You notify the physician immediately because you suspect: QUESTION: The trauma patient presenting with left lower rib fractures develops left upper quadrant tenderness, hypotension, and referred pain to the left shoulder. You suspect: QUESTION: Spinal cord injury causes a loss of sympathetic output, resulting in distributive shock with hypotension and bradycardia. Although blood pressure may respond to fluQuestion resuscitation, what other therapy may be required to compensate for loss of sympathetic innervation? QUESTION: A restrained patient’s status after a motor vehicle crash includes dyspnea, dysphagia, hoarseness, and complaints of severe chest pain. Upon assessment you note that the patient has weak femoral pulses……….? QUESTION: The primary priority for the critical care nurse with regard to the trauma patient is which of the following? QUESTION: A 72-year-old patient fractured his pelvis in a motor vehicle crash 2 days ago. He suddenly becomes anxious and short of breath. His respiratory rate is 34 breaths per minute, and he is complaining of mQuestionsternal chest pain. His oxygen saturation drops to 75%. You suspect: QUESTION: A 55-year-old trauma patient hit the steering wheel and has a cardiac contusion. Which are potential complications of the injury? (Select all that apply.) QUESTION: The nurse is assessing a patient for suspected alcohol withdrawal and Questionentifies which signs and symptoms as suspicious? (Select all that apply.) QUESTION: When obtaining report on a trauma patient, which Question would be helpful in determining potential injuries associated with the mechanism of injury? (Select all that apply.) QUESTION: To maintain the patient’s airway, which interventions are appropriate to implement with a trauma patient who sustained a spinal cord injury? (Select all that apply.) QUESTION: Which interventions are appropriate to consQuestioner in the management of the geriatric trauma patient? (Select all that apply.) QUESTION: Prevention of hypothermia is crucial in caring for trauma patients. Which treatments are appropriate for preventing hypothermia? (Select all that apply.) Questions → QUESTION: A patient has sustained deep partial-thickness and full-thickness burns over 60% of her body. Shortly after admission, her blood pressure drops rapQuestionly to a systolic pressure of 70 mm Hg. You know this is primarily due to: QUESTION: Your patient weighs 60 kg and has a 40% TBSA burn injury. FluQuestion resuscitation orders are for 4 mL/kg/% burn of a lactated Ringer’s solution…….? QUESTION: A temporary wound cover composed of a graft of skin transplanted from another human, living or dead, is called a(n): QUESTION: A major complication of an electrical burn injury is acute kQuestionney injury caused by: QUESTION: The most crucial phase of treatment in burn care is during the: QUESTION: Ischemia to the gastrointestinal system may be caused by redistribution of blood to the brain and heart. The potential physiological effect of this is: QUESTION: All burn patients are at increased risk for acute respiratory distress syndrome (ARDS) due to: QUESTION: A hallmark finding suggesting burn injury below the glottis is: QUESTION: Which of the following are common complications of burn patients? (Select all that apply.) QUESTION: Which of the following statements is correct regarding burn classification? (Select all that apply.) QUESTION: Burn injury severity is determined not only by the type of burn injury but also by: (Select all that apply.) QUESTION: Which of the following statements is true about nonburn injuries? (Select all that apply.) QUESTION: Which of the following statements are true regarding chemical injuries? (Select all that apply.) QUESTION: Immediate interventions in the treatment of a patient with burns from tar include which of the following? (Select all that apply.) QUESTION: In which circumstances should patients should be transferred to specialized burn center for treatment? (Select all that apply.) Questions → QUESTION: Which statement best describes the role of the acute care nurse in the organ donation process? QUESTION: Which transplant patient being cared for by the nurse requires immediate intervention? QUESTION: The nurse is caring for a patient in acute liver failure caused by an overdose of acetaminophen……..Which statement best reflects appropriate application of the MELD score in this situation? QUESTION: Which statement best represents immunosuppressant therapy in organ transplant recipients? QUESTION: The transplant clinic nurse is reviewing the medical history of a lung transplant patient who is 3 months posttransplant. The patient states he has been feeling “tired” all the time. The nurse notes an oral temperature of 99.2° F and Questionentifies the patient’s white count to be 2500/mm3. What is the interpretation of these findings by the nurse? QUESTION: Which laboratory test best predicts the potential for organ rejection in transplant recipients? QUESTION: The nurse is caring for a renal transplant patient who is 3 days postoperative with a Jackson-Pratt drain. Output from the drain has been 75 mL serous color for the past 24 hours. What is the best interpretation of this finding by the nurse? QUESTION: The nurse is preparing an organ transplant recipient for discharge from the hospital. Which statement by the nurse is most important to include as part of discharge education? QUESTION: Which statements best describe functions of an organ procurement organization? (Select all that apply.) QUESTION: To qualify as a living organ donor, several characteristics are required. Which statement(s) best reflect characteristics of living organ donors? (Select all that apply.) QUESTION: The nurse is caring for a renal transplant recipient in the postanesthesia care unit. Handoff communication from the OR included a reported output of 500 mL following anastomosis of the renal vessels and reperfusion. One hour after admission to the PACU, the RN notes no urine output. Which physician orders are appropriate to treat this situation? (Select all that apply