Which laboratory result, obtained on a client 24 hours post-burn injury, will the nurse report to the physician immediately? A. Arterial pH, 7.32 B. Hematocrit, 52% C. Serum potassium,7.5 mmol/L (mEq/L) D. Serum sodium, 131 mmol/L (mEq/L) Correct Answer: C. Serum potassium,7.5 mmol/L (mEq/L) The serum potassium… Read More »
The nurse manager is observing a new nursing graduate caring for a burned client in protective isolation. The nurse manager intervenes if the new nursing graduate planned to implement which incorrect component of protective isolation technique? A. Performing strict handwashing techniques. B. Wearing protective garb, including a mask, gloves, cap, shoe covers, gowns,… Read More »
The client who experienced an inhalation injury 6 hours ago has been wheezing. When the client is assessed, wheezes are no longer heard. What is the nurse’s best action? A. Raise the head of the bed. B. Notify the emergency team. C. Loosen the dressings on the chest. D. Document the… Read More »
Which intervention is most important to use to prevent infection by autocontamination in the burned client during the acute phase of recovery? A. Changing gloves between wound care on different parts of the client’s body. B. Avoiding sharing equipment such as blood pressure cuffs between clients. C. Using the closed method of… Read More »
A 12-year-old male with facial burns asks the nurse if he will ever look the same. Which response is best for the nurse to provide? A. “With reconstructive surgery, you can look the same.” B. “We can remove the scars with the use of a pressure dressing.” C. “You will not look… Read More »
Which nursing intervention is likely to be most helpful in providing adequate nutrition while the client is recovering from a thermal burn injury? A. Allowing the client to eat whenever he or she wants B. Beginning parenteral nutrition high in calories C. Limiting calories to 3000 kcal/day D. Providing a low-protein,… Read More »
A client is undergoing fluid replacement after being burned 20% of her body 12 hours ago. The nursing assessment reveals a blood pressure of 90/50 mm Hg, a pulse rate of 110 beats per minute, and a urine output of 25 ml over the past hour. The nurse reports the findings to the physician and… Read More »
Ten hours after the client with 50% burns is admitted, her blood glucose level is 90 mg/dL. What is the nurse’s best action? A. Notify the emergency team. B. Document the finding as the only action. C. Ask the client if anyone in her family has diabetes mellitus. D. Slow the… Read More »
When should ambulation be initiated in the client who has sustained a major burn? A. When all full-thickness areas have been closed with skin grafts B. When the client’s temperature has remained normal for 24 hours C. As soon as possible after wound debridement is complete D. As soon as possible… Read More »
The client with open burn wounds begins to have diarrhea. The client is found to have a below-normal temperature, with a white blood cell count of 4000/mm3. Which is the nurse’s best action? A. Continuing to monitor the client B. Increasing the temperature in the room C. Increasing the rate of the… Read More »