A client is being treated for extensive burns over much of the body. For which reason should the nurse expect to administer extra fluids to this client?
a. The wounds are exudative and contribute to fluid loss
b. The client has lost a significant amount of body weight
c. The remaining skin is dry from heat exposure and needs moisture
d. The client is confined to bed and must rely on nursing care to meet essential needs
a. The wounds are exudative and contribute to fluid loss
Large exudative wounds and burn injuries contribute to fluid losses and can result in fluid and electrolyte imbalances during metabolic stress. Loss of body weight, especially lean body mass, usually results from fat and protein catabolism during stress. Dry skin results from causes other than fluid loss related to physiologic stress and would benefit from a moisturizer. The client's needs in this situation exceed the normal fluid intake that would be routinely provided by a nurse at the bedside.
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According to the theory of thermogenesis, weight control is the result of:
a. a balance between caloric intake and energy expenditure. b. decrease in caloric intake and energy expenditure. c. increase in caloric intake and energy expenditure. d. storage of fat for energy.
A nurse is reviewing medications prior to the administration of the morning medications. The nurse understands that the reason a patient is being treated with a beta1 agonist is that the patient has
a. a blood pressure of 90/40. b. a heart rate of 102. c. a blood pressure of 176/90. d. vasodilation of the bronchi.
The nurse preparing to insert an IV on an older adult client notices that the client's skin is extremely fragile. Which action by the nurse is best?
a. Use a blood pressure cuff to cause the vein to distend. b. Slap the skin vigorously to cause the vein to rise. c. Place a gauze pad under the tourniquet before tightening. d. Avoid the use of a tourniquet if the vein is already hard.
When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the:
a. presence and form of body parts. b. gender and race of the person drawn. c. approximate age and posture of the person drawn. d. length of time needed to draw a stick man.