A client who has severe third-degree burns must be "packaged," which means the nurse will:
a. prepare for application of plaster immobilization cast
b. prepare to transport the client to an isolation area
c. provide postmortem care and transfer the body to the morgue
d. wrap affected areas in sterile dressings, start an IV, and insert specified tubes and catheters
D
Clients with major burns are usually transported to a burn center after the arterial blood gases (ABGs) have been stabilized, where the nurse will wrap affected areas in sterile dressings, start an IV, and insert specified tubes and catheters.
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Intravenous dantrolene (Dantrium) 2 mg/kg is prescribed for preoperative prophylaxis for a patient with a history of malignant hyperthermia. The patient weighs 132 lb. The nurse administer _____ mg
What will be an ideal response?
The nurse assesses a client as experiencing severe pain. Which intervention would be the most applicable for the client at this time?
1. Provide NSAID medication as prescribed. 2. Coach the client with guided imagery. 3. Suggest the client read or watch television until the pain subsides. 4. Provide opioid analgesic as prescribed.
Once the protective wrap is removed from a bag of IV fluid, the fluid must be used:
A. within 48 hours. B. within 24 hours. C. within 36 hours. D. immediately.
A nurse suspects that the intraspinal catheter has punctured the dura when:
A. Clear drainage is noted B. Bloody drainage is noted C. Purulent drainage is noted D. Redness, warmth, and swelling are noted