Gwen has sustained serious burns in a kitchen fire. She has been transferred to a burn unit for further treatment
a. What are the life-threatening complications associated with burns?
b. How they may be prevented?
Students' answers should include the following:
a. Life-threatening complications with burns include the following: infection, inhalation, shock, and sepsis
Respiratory compromise and cardiovascular shutdown are also at risk with acute burns as is dehydration.
b. Sterile technique, antimicrobials, and fluid resuscitation as well as maintaining airway and cardiovascular monitoring
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The leadership team is contemplating a change in the clinical information system. Which definition of strategic planning should this team follow?
A) A chaotic approach to organizational change B) A series of sequential steps leading to individualized goals C) A plan devoid of a mission and goals D) Process of determining what an organization wants to be in the future and planning how it will get there
A client who is experiencing acute alcohol withdrawal has been given a dose of haloperidol (Haldol) to treat his increasing agitation. Which of the following effects would the nurse recognize as a tertiary effect of drug administration?
A) The client expresses an understanding of the drug's intended effect. B) The neurotransmitters affected by Haldol interact with neuropeptides and hormones. C) The Haldol is synthesized, released, and metabolized by the client's body. D) The client exhibits a reduction in his agitation.
Immediately prior to placing the client on a gurney for surgery, the nurse asks the client to remove the partial plate dentures. The client becomes upset and states, "No one can see me without my teeth. I am so embarrassed by the way I look without them." What is the nurse's best response to the client?
A. "I realize this is hard for you to do. I will ask the nurse in surgery to remove them for you after you go to sleep." B. "Why don't you take them out and drape this washcloth over your face so no one can see you without your teeth?" C. "Leaving your teeth in during surgery may cause injury to you or your teeth. Here is the cup for your dentures. Take them out right before surgery and then you can place them back in your mouth as soon as you wake up." D. "This is just something you have to put up with when you have surgery. No one knows you here so it won't be that embarrassing."
The client appears to be breathing faster than before. The nurse should:
1. Ask the client if he has felt stressful 2. Have the client lay down on the bed 3. Count the client's rate of respirations 4. Palpate the client's own radial pulse