The nurse is caring for a patient in the acute phase of burn care. While performing an assessment during this phase of burn care, the nurse recognizes that airway obstruction related to upper airway edema may occur up to:
A) 2 days after the burn injury
B) 3 days after the burn injury
C) 5 days after the burn injury
D) 1 week after the burn injury
Ans: A
Feedback: Airway obstruction caused by upper airway edema can take as long as 48 hours to develop. Changes detected by x-ray and arterial blood gases may occur as the effects of resuscitative fluid and the chemical reaction of smoke ingredients with lung tissues become apparent.
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A nurse has been working overtime because of high hospital census and a decreased work force. The nurse is concerned about the danger of work-related burnout or compassion fatigue. To combat this risk, the nurse should:
a. increase nursing responsibilities at work. b. take control over new areas at work to reduce stress. c. strengthen relationships outside of the hospital. d. hang out with co-workers when not at work.
Which organization specifically supports and meets the needs of the LVN/LPN?
a. NAPNES b. NLN c. ANA d. NCLEX
A nurse is assigned to care for an elderly, confused patient. The patient's son is sitting at the bedside and is watching a loud television program. The nurse needs to complete the respiratory and cardiac assessment and vital signs
What would be the best approach to this situation? a. Do not say anything. Just do the best you can with the TV on loud. b. Say: "That TV is too loud for me to do my work. You have to shut it off." c. Say: "I'll come back after you've finished watching this TV show. Can you use the call bell to let me know when it's over?" d. Say: "I need a quiet environment while I listen to your mother's chest. I will need to turn the TV down until I'm finished."
Which nursing diagnosis explains the primary reason many clients with severe and persistent mental illness attain goals while hospitalized but manifest problematic behaviors when discharged to community placements?
1. Lack of adequate supervision related to inadequate community financing 2. Noncompliance with medications related to unacceptable side effects 3. Impaired judgment related to psychiatric symptoms 4. Interrupted family processes related to fear