Following a serious thermal burn, which complication will the nurse take action to prevent first?
A) Tissue hypoxia
B) Infection
C) Renal failure
D) Hypovolemia
D
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After a burn, fluid from the body moves toward the burned area, which leads to intravascular fluid deficit. Steps must be taken to prevent irreversible hypovolemic shock in the initial stages of treatment. The inflammatory processes that affect the tissues cause additional injury, which contributes to tissue hypoxia. Myoglobin and hemoglobin that were destroyed during the burn can result in acute renal failure. Destruction of the skin barrier results in colonization of bacteria and can lead to life-threatening infection in days following the burn.
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a. lack of supervision. b. psychological problems. c. substance abuse. d. physiological problems.
A nurse is preparing to administer a prescribed phytonadione (vitamin K) injection 0.5 mg intramuscularly to a newborn. The phytonadione (vitamin K) ampule is labeled 1 mg equals 0.5 ml. How many milliliters will the nurse administer?
Record your answer using two decimal places. What will be an ideal response?
A nurse inspects the abdomen for skin color, surface characteristics, and surface movement. What part of the abdominal assessment does the nurse perform next?
a. Palpate lightly for tenderness and muscle tone. b. The tip of the middle finger of the dominant hand strikes the nail of the middle finger touching the skin of the abdomen. c. Palpate deeply for masses or aortic pulsation. d. Percuss for tones.
With the client lying supine, a nurse raises the client's leg to flex the hip. The client complains of pain when the leg is raised to 40 degrees. The nurse correlates this finding with:
a. Lumbar nerve compression. b. Cervical disk herniation. c. Osteoarthritis. d. Bursitis.