1. Evaluate the effectiveness of fluid resuscitation for a client that is in the resuscitation
phase of burn injury; lab values that its working,
... [Show More] effective?
2. Patient with chest tube, no longer fluctuation of water seal chamber, no signs of
respiratory distress, what do you think is happening?
3. Patient that suffers 45% body surface area burn from house fire, what complications will
the patient be at greater risk for because of age-related changes?
4. EKG rhythm?
5. EKG rhythm?
6. EKG rhythm?
7. EKG rhythm?
8. Patient that has been recently admitted for burn injuries, what type of IV fluid does the
nurse plan to administer?
9. Choose a Strip where the patient is the greatest risk for CVA? (A-Fib)
10. Assessing 4 patients and which one would you see first? ABCs?
11. Patient with hypovolemic shock with s/s tachycardia, low BP, low urine output, you have
to give patient IV bolus, which s/s after the IV bolus show the patient is getting better?
12. Patient with burn injury, assessing for GI complication, s/s of paralytic ileus?
13. What are the electrolytes abnormalities that the nurse will anticipate during the
resuscitation phase of a client with a burn injury?
14. Why do you give PEEP to a patient with major burn injuries?
15. What are the s/s you are going to monitor in a patient with fluid replacement
complications (shock)
16. Patient that is exhibiting ventricular tachycardia, what is the intervention? (EKG)
17. Educating a patient about the anticipation of a procedure requiring a water seal
chamber system, what would you tell the patient and family the system is used for?
18. Patient that has been vomiting for a couple of days, what type of assessments are you
going to do on that patient to verify? (types of imbalances)
19. Patient with sinus rhythm with HR 80, converts into A-Fib with a ventricular response of
166, BP is high, RR is normal, patient has normal chest expansion and clear lungs
bilaterally; start patient on IV heparin... what is your main goal with this patient?
20. Patient exhibiting s/s of pneumothorax, doctor inserts a chest tube, what will you tell
the family that this is for?
21. Four types of patients… which of those patients is a priority for an emergency
treatment?
22. You are observing constant bubbling on a water seal chamber, closed chest drainage
system, what does this mean?
23. Patient on a third degree burn with a GI medication, what are the primary action of this
drug on the patient? (GI ulcer)
24. A patient with cushing’s syndrome, what are the s/s associated?
25. A patient that is critically ill with autonomic dysreflexia, what are the manifestations that
the nurse expects with this patient?
26. Patient in the neuro ICU with C4 spinal cord injury, you are writing a plan of care, what
nursing diagnosis will you prioritize?
This study source was downloaded by 10000081254644 [Show Less]