During the immediate postburn period, the nurse conducts a rapid but thorough assessment. Which finding indicates a potential complication?
1. Coughing
2. Presence of eschar
3. Urine output of 30 mL in the hour since the burn occurred
4. Edema in the burned area
1
Rationale 1: Coughing could indicate either an inhalation injury or a cold. Any evidence of inhalation injury should be managed aggressively.
Rationale 2: Eschar may be present in severe burns.
Rationale 3: Urine output of 30 mL in the last hour is normal.
Rationale 4: Edema will likely be present at the site of the burn.
You might also like to view...
The nurse is assessing for inflammation in a dark-skinned person. Which technique is the best?
a. Assessing the skin for cyanosis and swelling b. Assessing the oral mucosa for generalized erythema c. Palpating the skin for edema and increased warmth d. Palpating for tenderness and local areas of ecchymosis
A patient with severe postoperative pain is ordered to receive morphine 2 mg intravenously. The patient asks if the drug could be taken by mouth instead. What is your best response?
a. "Giving the drug intravenously will give you faster pain relief." b. "I will call your prescriber and ask if the order can be changed." c. "Your surgeon wants you to receive the drug intravenously." d. "We can substitute the intravenous drug with an oral drug."
A client eats a large meal and then takes her medications. Usually food has which effect on drug dissolution and absorption?
a. Enhances b. Increases c. Decreases d. No effect
Simple random sampling differs from systematic sampling because:
A) subjects are selected using a table of random numbers B) subjects volunteer for either a control or experimental group C) subjects are selected by choosing every 10th person D) all subjects are selected for inclusion in the study