Interpret A.N.'s laboratory results
What will be an ideal response?
• In the emergent phase of a burn injury, the Hgb and Hct levels increase to above normal because
of hemoconcentration from the large fluid shifts and resulting vascular dehydration. Hct levels of
50% to 55% are expected during the first 24 hours after injury, with return to normal by 36 hours
after injury.
• Na and Cl levels are low because of massive fluid loss associated with the burn injury and the
retention of sodium that is present in the interstitial spaces. BUN is slightly elevated because of
fluid loss.
• Hyperglycemia occurs during the acute phase because of lipolysis, gluconeogenesis,
glycogenolysis, and relative insulin insensitivity.
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When taking a medication history on a patient why should the nurse ask about the use of complementary or alternative therapies?
A) Patients starting on new drugs are usually not compliant with medical regimens. B) Many drug-alternative therapy interactions can cause serious problems. C) Natural products may be more effective and the prescribed drug may not be needed. D) The cost of the drug and the alternative therapy may be too expensive for the patient to handle.
The nurse is assessing the gross motor skills of an 8-year-old boy. Which of the following interview questions would facilitate this assessment?
A) "Do you like to do puzzles?" B) "Do play any instruments?" C) "Do you participate in any sports?" D) "Do you like to construct models?"
The nurse has just palpated a laboring woman's contractions. The uterus cannot be indented during a contraction. What would the intensity of these contractions best be characterized as?
1. Weak 2. Mild 3. Moderate 4. Strong
The nurse is counseling a pregnant woman as to the best option for delivering her baby. She is 25 years old, has one other child, and is in a low-risk pregnancy. What should the nurse advise the patient as the best option for delivery?
A) Home B) Birthing center C) Hospital D) Personal preference