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The nurse is caring for a patient who B. Evaluate airway and circulation.
is admitted to the ED with burns to
the lower legs and hands. During the
initial management, what is the
priority nursing care?
A. Assess and treat pain.
B. Evaluate airway and circulation.
C. Place two IV catheters and initiate
fluid resuscitation.
D. Use the rule of nines to estimate
percent of body surface area
burned.
,It has been 12 hours since a patient B. Notify the physician immediately.
has been admitted for burns to the
face and neck with associated
inhalation injuries. The patient had
been wheezing audibly and the
wheezing has now stopped. What
nursing action is appropriate?
A. Check the patient's Spo2 level.
B. Notify the physician immediately.
C. Re-assess breathing in 1 hour.
D. Document improvement in
patient's condition.
A patient has been receiving D. Possible allergic reaction to silver sulfadiazine
dressing changes with silver (Silvadene)
sulfadiazine (Silvadene) for burn
injuries over both lower arms. The
nurse notices that the patient's white
blood cell count has dropped
significantly over the past 4 days.
How does the nurse interpret this
finding?
A. Electrolyte imbalance
B. Infection is improving
C. Impending kidney disease
D. Possible allergic reaction to silver
sulfadiazine (Silvadene)
, Which patient is at greatest risk of A. 24-year-old male admitted with blunt chest
developing acute respiratory distress trauma and aspiration
syndrome (ARDS)?
A. 24-year-old male admitted with
blunt chest trauma and aspiration
B. 56-year-old male with a history of
alcohol abuse and chronic
pancreatitis
C. 72-year-old male post heart valve
surgery receiving 1 unit of packed
red blood cells
D. 82-year-old female on antibiotics
for pneumonia
A patient is being discharged to B. "I should eat more green leafy vegetables like
home on warfarin (Coumadin) spinach."
therapy to manage an acute
pulmonary embolism. Which patient
response indicates a need for further
teaching by the nurse?
A. "I should limit my alcohol
consumption."
B. "I should eat more green leafy
vegetables like spinach."
C. "I should take the medication at
the same time every day."
D. "I should make a doctor's
appointment for weekly blood
draws."