The nurse plans care for a client with a major burn injury keeping in mind that the goals for initial burn wound management would include: Note: Credit will be given only if all correct choices and no incorrect choices are selected

Select all that apply. 1. Decrease the risk of developing compartment syndrome.
2. Promote physical/psychological comfort.
3. Prevent infection.
4. Reduce the degree of scarring.
5. Decrease fluid and electrolyte loss.


1,3,5
Rationale 1: The goals of wound management at this stage include decreasing the risk of developing compartment syndrome.
Rationale 2: Comfort is an important issue for treatment, however it is a secondary measure.
Rationale 3: The goals of wound management at this stage include preventing infection.
Rationale 4: Reduction of scarring is an issue that can be addressed at a later time.
Rationale 5: The goals of wound management at this stage are to decrease fluid and electrolyte losses.

Nursing

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A patient's laboratory data reveal an elevated thyroxine (T4) level. The nurse would proceed with an examination of the _____ gland

a. Thyroid b. Parotid c. Adrenal d. Parathyroid

Nursing

An inefficient contraction of the heart that fails to transmit a pulse wave to the peripheral pulse site creates:

a. dysrhythmia. b. tachycardia. c. bradycardia. d. a pulse deficit.

Nursing

The nurses are discussing how nursing informatics can be used to assist nurses with their work. Which of the following statements indicates that a nurse requires more education about this subject?

1. "I can quickly go online to help answer questions that I have about specific client issues that are occurring on the unit." 2. "I can use the computers to input data that I have collected about the number of clients with central lines on this unit." 3. "I've been monitoring the number of nosocomial infections that have been tracked back to this unit for the last 3 years." 4. "I can ask the computer to analyze the data and tell me specifically what to do about an issue."

Nursing

A patient with chronic kidney disease has a serum potassium level of 6 mEq/L. Which action should the nurse take? (Select all that apply.)

a. Obtain consent for hemodialysis. b. Administer the patient an antacid. c. Place the patient on a cardiac monitor. d. Give the patient a glass of orange juice. e. Repeat laboratory test of electrolyte levels. f. Inform RN to notify physician.

Nursing