What is a dysrhythmia?
Disorders of the formation of conduction of the electrical impulse within the heart.
A 23 year old male client who has had a full thickness burn is being discharged from the hospital. Which information is most important for the nurse to provide prior to discharge?
A. How to maintain home smoke detectors.
B. Joining a community reintegration program.
C. Learning to perform dressing changes
D. Options available for scar removal
C.
What is battle sign? name 4
Para orbital edema and Ecchymosis
postauricular ecchymosis
clear fluid from ears
halo sign
Name three of the nursing core values?
Students centered learning
Professionalism
Safety
Patient centered care
Patient education
Leader ship
Teamwork and collaboration
Informatics
Quality improvement
Evidence based practice
What body and head positioning is required for patients experiencing shock?
Modified Trendelenburg
Which of the following views electrical impulses that travel through the heart?
A. ECG
B. EEG
C. X ray
D. MRI
A.
A client who is admitted after a thermal burn injury has the following vital signs: blood pressure, 70/40; heart rate, 140; respiratory rate of 25/minute. He is pale in color and it is difficult to find pedal pulses. Which action will the nurse take first?
A. Start IV fluids
B. Check pulse is using a Doppler device
C. Obtain a complete blood count
D. Obtain an electrocardiogram
A. Because you want to monitor for shock
What are the three cardinal signs of brain death?
coma
no brain stem reflexes
Apnea
Which nursing organization is responsible for the magnet recognition program?
ANCC
When cardiac output is compromised where will the blood flow back into?
The lungs
What is the 6 second method used for?
Determining The heart rate
A 40-year-old male client who was burned was admitted under your care. Assessment reveals he has rales, respiratory rate of 40 per minute, and is coughing up blood tinged sputum. What action will the nurse take first?
A administer digoxin
B. Perform chest physiotherapy
C. Monitor urine output
D. Place the client in an upright position
D.
A patient has a spinal cord injury at T6 or higher, what disorder can result from restrictive clothing pressure areas of full bladder fecal impaction?
Autonomic Dysreflexia
Which nursing organization is recognized by US secretary of education?
CCNE
What are the manifestations of neurogenic shock?
Parasympathetic stimulation, warm dry skin, hypotension with bradycardia
Where to place leads for a five lead cardiac monitor?
White
Black
Red
Green
Brown
Right above
Left above
Left lower
Right Lower
Brown middle chest
10 hours after the client with 50% Burns is admitted, her blood glucose level is 142. What is the nurses best action?
A. Document the findings
B. Obtain a family history of diabetes
C. Repeat the glucose measurement
D. Stop IV fluids containing dextrose
A.
What is the medication used as the first line therapy for myasthenia gravis?
Mestinon
What is the benefits of collaboration? 4 of them
Decrease falls
Decreased length of patient's stay
Decrease mortality rate
Decrease readmission rate
What are the three types of distributive shock, and causes blood to blood circulation?
Neurogenic shock, Anaphylactic shock and septic shock.
Blood pools into the peripheral vessels.
What medication do you give if Patient has symptomatic SVT?
Adenosine
The client has a large burn area on the right arm. The burned area appears pink, has blisters, and is very painful. How will the nurse categorize this injury?
A. Full thickness.
B. Partial thickness superficial
C. Partial thickness deep
D. Full thickness deep
C.
Peak progression with Guillain Barre syndrome usually hits between?
2 to 4 weeks
What does SBAR stand for?
Situation
Background
Assessment
Recommendation
What is the treatment for anaphylactic shock?
Epinephrine, diphenhydramine