A patient is admitted to a burn intensive care unit with extensive full-thickness burns. The nurse is most concerned about the patient's:
A) Fluid status
B) Risk of infection
C) Body image
D) Level of pain
Ans: A
Feedback: During the early phase of burn care, the nurse is most concerned with fluid resuscitation to correct large-volume fluid loss through the damaged skin. Infection, body image, and pain are significant areas of concern but are less urgent than fluid status.
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A client hospitalized for a wound infection has a blood urea nitrogen of 45 mg/dL and creatinine of 4.2 mg/dL. What action by the nurse is best?
a. Assess the ordered antibiotics for ototoxicity. b. Explain how kidney damage causes hearing loss. c. Use ibuprofen (Motrin) for pain control. d. Teach that hearing loss is temporary.
The nurse received the change-of-shift report on a 74-year-old woman admitted for depression. She has aphasia from a recent stroke and communicates minimally by using pencil and paper
Her college-age grandson moved in with her to help with meals and household chores and a home health aide provides daily assistance with ADLs and medications. For the past week, she has refused to bathe, eats poorly, and has stopped writing. Which of the following statements best demonstrates that the nurse has the ability to plan holistic care for this client? 1. The client's psychobiologic health, rehabilitation, self-care potential, and discharge arrangements are interrelated. 2. Reliance on the grandson and home health aide have decreased her feelings of self-worth and caused this episode of depression. 3. The client's quality of life and prognosis are primarily related to her aphasia and inability to communicate. 4. Sudden life changes, such as a stroke, usually lead to depression in older clients.
In the refereed journal you are reading, the researchers state that the validity and reliability of the instruments used in their study were established at an acceptable level. You are unfamiliar with the instruments used. You believe that to critically review this section of the report it is necessary to find out how the validity and reliability of these instruments were determined and the
criteria used to determine acceptability. How would you proceed? Include in your discussion how you could use technology to help you, and support your position with examples. What will be an ideal response?
. Statistics on teenage sexual activity, including having unprotected intercourse, demonstrate that:
A. Both the abortion rate and the birth rate among adolescents are continuing to increase. B. By age 18 to 19, the majority of adolescents have had sexual experience. C. Teenage pregnancy in the United States is at its highest in the last decade. D. Teenage pregnancy in the United States is at least lower than that in four other industrialized nations.