A patient, age 37, sustained partial- and full-thickness burns to 26% of the body surface area. When would the greatest fluid loss resulting from the burns occur?
a. Within 12 hours after burn trauma
b. 24 to 36 hours after burn trauma
c. 24 to 48 hours after burn trauma
d. 48 to 72 hours after burn trauma
ANS: A
In a burn injury, usually the greatest fluid loss occurs within the first 12 hours.
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A nurse is providing care to a patient who is a Jehovah's Witness. Against the patient's wishes, the physician ordered the nurse to give the patient two units of packed red blood cells
The nurse knows that the blood will save the patient's life, but also that it is against the patient's wishes; she is unsure what is the right thing for her to do. The nurse is experiencing a(n): a. Reflection encounter b. Ethical dilemma c. Moral outrage d. Moral distress
Which precaution is most important for the nurse to teach a patient who is prescribed any type of eye drug administered as eye drops?
a. Apply only the number of drops prescribed. b. Stop the drug immediately if eye redness occurs. c. Wear dark glasses for 1 hour after placing the eye drops. d. Apply pressure to the corner of the eye after the drug has been placed.
A parent of a 4-year-old is concerned that the child still wets the bed almost every night. What should the nurse respond to this parent's concerns?
A) "Disciplining will help stop this behavior." B) "Bedwetting is not uncommon in young children. Try to calmly change the bed without showing your frustration." C) "Setting rules is a parent's job to help the child have acceptable social behavior, so take away a privilege each time she wets the bed." D) "Nightly bedwetting up to age 6 or 7 is developmentally typical, so you will need to practice patience with the child."
What is the nurse's ultimate goal when offering interventions to families?
a. Suggesting new coping measures b. Increasing the family's autonomy in solving their own problems c. Providing families with specific guidelines on how to manage their time and resources more effectively d. Referring families to the appropriate support system