PN3 Exam 2 Study Guide ALL SOLUTION 100% CORRECT SPRING FALL-2022 GUARANTEED GRADE A+

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Priority intervention for a client with burn injuries in resuscitation phase o Administer analgesics o Prevent infection o Fluid replacement Prevention of ventilator associated pneumonia: o Adh... erence to proper hand hygiene o Administer anti-ulcer meds o HOB elevated at least 30 degrees o Oral care o Handwashing Ventilator Bundle: greatly reduced the overall incidence of VAP • Oral care is the key component of VAP prevention Possible PE signs and symptoms o Chest pain when breathing in o Dizziness o Tachycardia Care of a patient on mechanical ventilation: assess the patient’s respiratory status and gas exchange at least every 4 hours for the first 24 hours DVT Risk Factors • Dehydration • Prolonged immobility • Prolonged travel • Central venous catheters • Surgery • Obesity • Advancing age • Increased blood clotting • Hx of thromboembolism Why would a patient on mechanical ventilation get Ranitidine? o Prevents ulcers from the stress of the ventilation, specifically Curling’s ulcers Flail chest S/S: chest wall does not appear to be moving normally with respiration, oxygen saturation is low (82%) and cyanotic; must prepare for intubation • Occurs when 2 or more ribs are fractured in 2 or more places and are no longer attached to the thoracic cage • Interventions focus on ensuring adequate oxygenation, administration of fluids, and analgesia to improve ventilation, 100% oxygen by non-rebreather Escharotomy: treatment of circumferential burns; slicing parts of the body through the eschar to release pressure and pain Signs and Symptoms of Compartment Syndrome • Color of tissue is pale and cyanotic • Edema • Pain • Parathesia • Weak pulse • Numbness/tingling • Necrosis • Pain that is unrelieved with analgesics Parkland Formula: 4mL x kg x %TBSA for adults [Show More]

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