The nurse is caring for a client who has just been admitted with a 25% full-thickness burn. The nurse should expect an order for:
1. large volumes of normal saline.
2. antibiotics.
3. dextrose solutions.
4. warmed lactated Ringer's solution.
Answer: 4
1. Normal saline is not used, because of the fluid loss and the electrolyte imbalance it would cause.
2. Fluid resuscitation is the immediate concern. The client is monitored for signs of infection.
3. Dextrose solutions are not used because they can cause more changes in the osmotic pressures.
4. Lactated Ringer's is used because it more closely resembles the extracellular fluid of the body.
You might also like to view...
Ten hours after surgery, a postoperative client reports that the antiembolism stockings and sequential compression devices itch and are too hot. The client asks the nurse to remove them. What response by the nurse is best?
a. "Let me call the surgeon to see if you really need them." b. "No, you have to use those for 24 hours after surgery." c. "OK, we can remove them since you are stable now." d. "To prevent blood clots you need them a few more hours."
The pediatric patient has a fever and the nurse is preparing to administer an antipyretic. What drug would be the best choice for this patient?
A) Balsalazide (Colazal) B) Naproxen (Naprosyn) C) Indomethacin (Indocin) D) Aspirin
The policy of an adult health clinic is to collect a family history of three generations on every new client. The nurse orienting a newly hired nurse explains this policy in which way?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "Family history is a critical component of the way we educate clients about their health." 2. "You will not find this depth of family history collected in most practices." 3. "We are working to change this policy as it is very time consuming." 4. "Most of this information is never reviewed by providers." 5. "We review this information with clients at every visit and update the information as necessary."
A client who has been diagnosed with a substance abuse disorder and bipolar disorder has a
a. Disability b. Dual diagnosis c. Handicap d. Functional limitation