A client is admitted with severe burns over the anterior of both legs and the lower abdomen and genitals. The nurse should anticipate preparing for which of these procedures?
a. administration of 100% humidified oxygen
b. endotracheal tube insertion
c. insertion of a chest tube
d. insertion of two large-caliber venous catheters
D
Medical management of clients who sustain severe burn injury is initially focused on immediate lifesaving measures such as maintaining an open airway, replacing fluid and electrolytes, providing oxygenation, controlling pain, monitoring kidney function, and minimizing loss of body temperature and risk of infection. When the client's condition is stabilized, the focus turns to promoting healing, preventing complications, controlling pain, and restoring function.
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What is the best time for the nurse to assess the peak effectiveness of subcutaneously administered Regular insulin?
a. Two hours after administration b. Four hours after administration c. Immediately after administration d. Thirty minutes after administration
During the secondary survey it is discovered that a trauma patient has pelvic instability. Which nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Recheck stability every hour. 2. Monitor for bleeding. 3. Assist with wrapping a sheet around the pelvis. 4. Turn the patient every 2 hours, alternating sides and back. 5. Place the patient in high Fowler's position.
When preparing dantrolene for administration to a client the nurse should:
a. rotate the vial until the fluid is clear. b. inform the client what the medication is and why it is being given. c. administer the medication slowly IV. d. assess the client for manifestations of malignant hypertension
The nurse has completed the education for a client prescribed buspirone (BuSpar). Which statement made by the client indicates further teaching is required?
A. "The side effects I might experience include dizziness, headache, and drowsiness." B. "I can take this prescription when I feel anxious and it will relax me." C. "This prescription should be taken on a regular basis for it to help me." D. "I don't need to worry about becoming dependent on this prescription."