NUR 2790 Exam 2 Focus Points 2021.
Focus Points
NUR2790
Exam 2
Here are some key focus areas for Exam 2 which covers Modules 3, 4, & 5. Review course modules for
information. You are responsible for all content in the chapters, power points, lecture notes, tables, red
flags, figures, boxes, with special focus points on the following topics:
Module 3 Tissue Integrity
Relate principles of triage to prioritize care delivery in a disaster situation.
Appraise the roles of the nurse in emergency preparedness and response.
Prioritize nursing care for the patient during the acute phase of burn injury.
Develop a comprehensive plan of care for a patient with alteration in tissue integrity.
Describe the physiological process involved in the maintenance and restoration of health
and wellness, across the lifespan, as it relates to tissue integrity.
o Burns
Review RN delegation of tasks
Infection prevention
Hand washing and perform sterile dressing changes (LPNs can do dressing changes just
reinforce that they have to be sterile) They also must have their PPEs on
Understand how to support severely burned patients from resuscitation to discharge/rehab;
identify priority actions in each phase
Adequate fluid status during resuscitation phase by checking urine output;
Priority for burn patient coming to ED are fluids; priority for patient that has been electrocuted
make sure these patients are on a cardia monitor; what are potential consequences of burns
are self-image and depression
Treatment for patient that develops loud, brassy cough – what is going on here inhalation
injury (They are about to lose their airway, so we want to get ready to intubate) You would do
the same for a person who is having difficulty swallowing or drooling.
Understand common medications administered to burn patients and why the medications are
given i.e. for pain drug of choice is morphine, prevention of ulcers use Tagamet, famotidine, or
ranitidine
This study resource was
Understand nursing assessment of burn patient – what is continuously monitored – s/s to
watch for i.e. drooling, difficulty swallowing-what does the nurse do first? Assess their airway
and listen to their lungs; psychosocial impact of sever burn- would depression be normal? Yes
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Parkland Formula
Parklands 4mlx Body Space Affects x kg, remember 1
half goes
in over the next 16 hrs. Use Lactated Ringer
st
half goes in the first 8 hrs. 2
nd
How to calculate BSA%