A nurse reviews the laboratory results for a client who was burned 24 hours ago. Which laboratory result should the nurse report to the health care provider immediately?
a. Arterial pH: 7.32
b. Hematocrit: 52
c. Serum potassium: 6.5 mEq/L
d. Serum sodium: 131 mEq/L
Question 2A nurse assesses a client who has burn injuries and notes crackles in bilateral lung bases, a respiratory rate of 40 breaths/min, and a productive cough with blood-tinged sputum. Which action should the nurse take next?
a. Administer furosemide (Lasix).
b. Perform chest physiotherapy.
c. Document and reassess in an hour.
d. Place the client in an upright position.
Question 3A nurse cares for a client with a burn injury who presents with drooling and difficulty swallowing. Which action should the nurse take first?
a. Assess the level of consciousness and pupillary reactions.
b. Ascertain the time food or liquid was last consumed.
c. Auscultate breath sounds over the trachea and bronchi.
d. Measure abdominal girth and auscultate bowel sounds.
Question 4A nurse receives new prescriptions for a client with severe burn injuries who is receiving fluid resuscitation per the Parkland formula. The client's urine output continues to range from 0.2 to 0.25 mL/kg/hr. Which prescription should the nurse question?
a. Increase intravenous fluids by 100 mL/hr.
b. Administer furosemide (Lasix) 40 mg IV push.
c. Continue to monitor urine output hourly.
d. Draw blood for serum electrolytes STAT.
Question 5A nurse prepares to administer intravenous cimetidine (Tagamet) to a client who has a new burn injury. The client asks, Why am I taking this medication? How should the nurse respond?
a. Tagamet stimulates intestinal movement so you can eat more.
b. It improves fluid retention, which helps prevent hypovolemic shock.
c. It helps prevent stomach ulcers, which are common after burns.
d. Tagamet protects the kidney from damage caused by dehydration.
Question 6The nurse assesses a client who has a severe burn injury. Which statement indicates the client understands the psychosocial impact of a severe burn injury?
a. It is normal to feel some depression.
b. I will go back to work immediately.
c. I will not feel anger about my situation.
d. Once I get home, things will be normal.
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