advanced med-surg final kahoot review:

is it normal for patients to lose weight while critically ill?

yes

Your patient is suffering from neurological trauma and is at risk for injury, what is your nursing responsibility?

ventilatory support, protect the airway, seizure precautions, and keep head midline

3 "must do" interventions for DKA and HHS:

1) fluid replacement

2) electrolyte replacement

3) insulin therapy (infusion)

Battle sign and periorbital ecchymosis are signs of a basilar skull fracture. True or false?

true

What is the top complaint from a patient receiving radiation therapy?

fatigue

Where is the most optimal place for disaster-based triage take place to keep others safe?

outside, in a controlled environment

Name 3 organ systems directly compromised by uncontrolled diabetes.

kidneys, vascular, and cardiovascular system

The basic principle for disaster-based triage is: Doing the greatest good for the greatest number of people. True or false?

true

What are the nursing responsibilities with regards to patient code status?

follow the patients wishes

Which type of shock is truly based on fluid volume loss?

hypovolemic shock

How will you field triage the following patient : RR=35, paradoxical chest wall movement, and is unable to stand.

red

Patients with liver failure are known to have tremors that are described as “hand flapping”, name this condition?

asterixis

Which vital sign profile is likely from a patient suffering from neurogenic shock.

A) 101/66, HR 109, RR 32

B) BP 85/54, HR 120, RR 35

C) BP 85/54, HR 50, RR 8

D) BP 100/65, HR 110, RR 26

BP 85/54, HR 50, RR 8

(low HR, low BP, and low RR; NO compensation of HR--> no tachycardia)

Name the top 3 causes of autonomic dysreflexia.

1) constipation

2) pressure ulcers

3) bladder distention/retention

Dysrhythmias contribute to an increase in cardiac output. True or false?

false

(decrease)

Where is the primary location for nutrient absorption?

the small intestine

Hypovolemia associated with non-infective ARDS is related to pulmonary vasculature capillary bed leakage. True or false?

true

Interventions utilized when a patient suffering from alcohol withraw hallucinations:

1) well-lit environment

2) reorientation

Order the antidotes to match the following drugs/toxins: Heparin

Versed

Sarin

Warfarin

heparin--> protamine sulfate

Versed--> flumazenil

Sarin--> atropine sulfate

Warfarin--> vitamin K

A nurse must wear PPE that gives the highest respiratory protection with lesser skin and eye protection. What level?

level B

What is the best oxygenation method for a patient in respiratory arrest?

endotracheal intubation

What is the optimal method to nourish an awake and alert patient who is malnourished with a paralytic ileus?

total parenteral nutrition

5 signs and symptoms of fluid volume deficit include:

dizziness, prolonged capillary refill, pale skin, hypotension, and dry mucous membranes

A previous MI can predisposition the patient for future conduction issues. True or false?

true

Recognizing and promptly treating streptococcal infections reduces the risk of rheumatic heart disease. True or false?

true

Common vesicants include:

dopamine, sulfur mustard, and chemotherapeutic agents

A patient with mechanical valves and/or cardiac stents requires what life sustaining therapy:

anticoagulation therapy

Symptoms associated with COPD include:

increased risk of infections, barrel chest, and C02 retention

What is the top cause of death in patients with Autoimmune Neurologic Disorders?

respiratory failure

Hospitalization increases the incidence of GI ulcerations. True or false?

true

Sick day rules for insulin dependent diabetics include:

1) increase carb intake

2) increase glucose checks

3) increase frequency of insulin administration

4) increase fluids