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Flashcards in ATI Deck (67)
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1

hypoxia, brain injury or death will occur within ___-__ min if the airway is not patent.
.

3 to 5

2

If a client is awake and responsive, the airway is____

open

3

If the client is unresponsive without suspicion of trauma, the airway should be opened with a_______ maneuver.

Do NOT perform this technique on clients who have a potential _______

head-tilt/chin-lift

cervical spine injury

4

If the client is unresponsive with suspicion of trauma, the airway should be opened with a ________ maneuver

modified jaw thrust

5

is the body's response to inadequate tissue perfusion and oxygenation. It manifests with an increased heart
rate and hypotension and can result in tissue ischemia and necrosis.


Shock

6

5 nursing interventions for shock

Administer oxygen.

Apply pressure to obvious bleeding.

Elevate lower extremities to shunt blood to vital organs.

Administer IV fluids and blood products.

Monitor vital signs.

7

Hypothermia can lead to what 3 things

eventual coma
hypoxemia
acidosis.

8

Remove wet clothing from the client.
Cover the client with warm blankets.
Increase the temperature of the room.
Use a heat lamp to provide additional warmth.
Infuse warmed IV fluids.

are all interverntions for _____

hypothermia

9

Generally, ice, tourniquets, heparin, and corticosteroids are contraindicated in the first ___--__ hr after the bite.

6 to 8

10

Antivenom based on the type and severity of a snake bite is most effective if administered within __-__ hr.

4 to 12

11

Assess for tissue edema every___-____ min if bitten by a snake or spider.

15 to 30

12

for ingested poision, what 3 things can help

activated charcoal
gastric lavage
aspiration

13

administer _______ if seizures occur

diazepam

14

Avoid the use of ____ in clients who are receiving
epinephrine.

MAOIs

15

injuries result from open flames and explosions.

Dry heat

16

injuries result from contact with hot liquid or steam. Scald injuries are more common in older adults and younger children

Moist heat

17

burns occur when hot metal, tar, or grease contacts the skin.

Contact

18

result from exposure to a caustic agent. Cleaning agents in the home (drain cleaner, oven cleaner, bleach) and agents in the industrial setting (caustic soda, sulfuric acid) can cause chemical burns.

Chemical

19

burns result when clothes ignite from heat or flames that electrical sparks produce.

Thermal

20

result from contact with electrical current that travels through the air from one conductor to another.

Flash (arc

21

results when a person touches electrical wiring or equipment.

Conductive electrical

22

most often result from therapeutic treatment for cancer or from sunburn.

Radiation

23

_____ damage findings include singed nasal hair, eyebrows, and eyelashes; sooty sputum;
hoarseness; wheezing; edema of the nasal septum; and smoky smelling breath.

Inhalation

24

(from burns in an enclosed area) findings include headache, weakness, dizziness, confusion, erythema (pink or cherry red skin) and upper airway edema,
followed by sloughing of the respiratory tract mucosa.

Carbon monoxide inhalation

25

upper airway edema becomes pronounced __-__ hr after the beginning of fluid resuscitation.

8 to 12

26

Incision through the eschar relieves pressure from the constricting force of fluid buildup under circumferential burns on the extremity or chest and improves circulation.

Escharotomy

27

Incision through eschar and fascia relieves tissue pressure when escharotomy alone does not.

Fasciotomy

28

is an inflammation of the meninges, which are the membranes that protect the brain and spinal cord.

Meningitis

29

Bacterial meningitis can occur from what 3 things

otitis media
pneumonia
sinusitis

30

3 subjective clinical manifestation of Meningitis

Excruciating, constant headache
Nuchal rigidity (stiff neck)
Photophobia (sensitivity to light)