A patient is admitted to the burn center with burns of his head and neck, chest, and back after an explosion in his garage. On assessment, the nurse auscultates wheezes throughout the lung fields. On reassessment, the wheezes are gone and the breath sounds are greatly diminished. Which action is the most appropriate for the nurse to take next?
A) obtain vital signs and a STAT ABG
B) encourage the patient to cough and auscultate the lungs again
C) document the findings and continue to monitor the patient's breathing
D) anticipate the need for endotracheal intubation and notify the physician
Ans: D) anticipate the need for endotracheal intubation and notify the physician
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The nurse has initiated measures to promote suppuration of a carbuncle. Which assessment would indicate that these measures have been successful?
a. The area is erythematous and scaly. b. The area has begun to drain exudate. c. The area is not erythematous or edematous. d. The area has stopped draining exudate.
Which of the following preoperative interventions would be contraindicated for the client with acute appendicitis?
A. Keeping the client NPO B. Administering IV fluids C. Placing a heating pad on the abdomen D. Placing the client in a semi-Fowler's position
The nurse uses information to make decisions using critical thinking. The nurse gains reliable information through:
A) questioning and inference. B) research and observation. C) questioning and assumptions. D) interpretation and assumptions.
Identify a nonpharmacologic treatment that a patient should consider to prevent the progression of angina attacks.
A. Weight control B. Exercise and a low-fat diet C. Smoking cessation D. All of the above