One of the most stressful physical traumas is
a. a fracture in a long bone.
b. a low-grade fever (<100° F).
c. minor surgery requiring a general anes-thetic.
d. a burn that covers >40% of body surface area.
D
Burns that cover >40% of body surface area increase metabolic rate more than fractures, low-grade fevers, and minor surgery. Long bone fractures increase metabolic rate 10% to 30%, fever increases metabolic rate 2% for every degree above normal, surgery increases metabolic rate up to 20%, and burns increase metabolic rate 85% to 105%.
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The prenatal clinic nurse is caring for a 15-year-old primiparous client at 8 weeks' gestation. The client is 64 inches tall and weighs 115 pounds. The client asks the nurse why she is supposed to gain so much weight
What is the best response by the nurse? 1. "Gaining 25–35 pounds is recommended for healthy fetal growth." 2. "It's what your certified nurse–midwife recommended for you." 3. "Inadequate weight gain delays lactation after delivery." 4. "Weight gain is important to assure that you get enough vitamins."
Which information noted by the nurse during a patient interview is considered part of cultural assessment?
a. The patient's personal appearance and clothing are neat and clean. b. The patient is considerably overweight for his or her height and age. c. The skin tone and eye coloring of all family members is very similar. d. The wife looks to her husband to answer questions about her health.
The client wears contact lenses and has been prescribed eyedrops for glaucoma. What will the best education by the nurse include with regard to contact lenses?
1. Remove lenses before instilling eyedrops; do not reinsert lenses for 15 minutes. 2. Instill the drops with the contacts in as long as they are the hard kind of contacts. 3. Eyeglasses must be worn for as long as the client must have the eyedrops. 4. Instill the drops with the contacts in as long as they are the soft kind of contacts.
A patient is admitted to the unit with central spasticity after a terrible motor vehicle accident. The doctor places an intrathecal delivery pump. What medication can be administered via this route to treat the central spasticity?
A) Baclofen (Lioresal) B) Cyclobenzaprine (Flexeril) C) Dantrolene (Dantrium) D) Carisoprodol (Soma)