Which nursing assessment and care holds the highest priority in the initial care of a child with a major burn injury?
a. Establishing and maintaining the child's airway
b. Establishing and maintaining intravenous access
c. Insertion of a catheter to monitor hourly urine output
d. Insertion of a nasogastric tube into the sto-mach to supply adequate nutrition
A
Establishing and maintaining the child's airway are always the priority focus for assessment and care. Establishing intravenous access is the second priority in this situation, after the airway has been established. Inserting a catheter and monitoring hourly urine output are the third most important nursing intervention. Nasogastric feedings are not begun initially on a child with major or severe burns. The initial assessment and care focus for a child with major burn injuries are the ABCs.
You might also like to view...
The new nurse demonstrates an understanding of the primary purpose of the state nurse practice act (NPA) by explaining that it acts to:
a. test and license LPN/LVNs. b. define the scope of LPN/LVN practice. c. improve the quality of care provided by the LPN/LVN. d. limit the LPN/LVN employment place-ment.
Which type of fractures describes traumatic separation of cranial sutures?
a. Basilar b. Linear c. Commuted d. Depressed
Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers. What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter pylori test?
A. It is highly contagious and a mask should be worn at home. B. Treatment regimen is multiple lifetime medications. C. Treatment regimen is multiple medications taken daily for a few weeks. D. Treatment regimen is complicated and is not indicated unless the patient is symptomatic.
A Muslim woman enters the clinic to have a woman's health examination for the first time. Which nursing behavior applies Swanson's caring process of "knowing the patient?"
A) Sharing feelings about the importance of having regular woman's health examinations B) Gaining an understanding of what a woman's health examination means to the patient C) Recognizing that the patient is modest; obtaining gendercongruent caregiver D) Explaining the risk factors for cervical cancer