A nurse is assessing a client with a major burn injury.

Which of the following findings should the nurse prioritize?

The client is producing black colored sputum.

The client has large blistered areas over his chest.

The client has edema at the burn site.

The client has decreased sensation over the burn areas.

Answer and Explanation

The Correct Answer is A

Choice A rationale
The production of black colored sputum in a client with a major burn injury could indicate inhalation injury, which is a serious complication associated with burns. Inhalation injury can lead to respiratory failure, a leading cause of death in patients with burn injuries.
Choice B rationale
While large blistered areas over the chest indicate a significant burn injury, they are not immediately life-threatening. These areas will require wound care and monitoring for infection.
Choice C rationale
Edema at the burn site is a common response to burn injuries. It is caused by an increase in capillary permeability following the injury. While it needs to be monitored, it is not the highest priority.
Choice D rationale
Decreased sensation over the burn areas could indicate a deep partial-thickness or full-thickness burn. While this is a serious condition that will require treatment, it is not as immediately life-threatening as an inhalation injury.

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Correct Answer is D

Explanation

Choice A rationale
Serum IgA levels are not typically associated with acute pancreatitis. IgA is an antibody that plays a crucial role in the immune function of mucous membranes. Changes in serum IgA levels can occur in various conditions, but they are not a characteristic finding in acute pancreatitis.
Choice B rationale
Decreased serum bilirubin is not commonly associated with acute pancreatitis. While jaundice (indicated by increased bilirubin levels) can occur in some cases of acute pancreatitis due to blockage of the bile duct, decreased bilirubin levels are not a typical finding.
Choice C rationale
Elevated serum albumin is not typically associated with acute pancreatitis. In fact, levels of albumin, a protein made by the liver, can sometimes decrease in acute pancreatitis due to inflammation and leakage of protein into the abdomen.
Choice D rationale
Elevated serum amylase is commonly associated with acute pancreatitis. Amylase is an enzyme that helps digest carbohydrates. It’s produced in the pancreas and the glands that make saliva. When the pancreas is inflamed, levels of amylase in the blood often rise.

A. Bananas B. White rice C. Cabbage D. Cheddar cheese

Correct Answer is A

Explanation

Choice A rationale
Bananas are a rich source of potassium. For a patient taking furosemide (a diuretic that can cause loss of potassium) and with a low serum potassium level, incorporating bananas into their diet can help increase their potassium levels.
Choice B rationale
White rice is not a significant source of potassium. It would not be the best choice for a patient needing to increase their potassium levels.
Choice C rationale
While cabbage does contain some potassium, it is not as high in potassium as other foods, such as bananas.
Choice D rationale
Cheddar cheese is not a significant source of potassium. It would not be the best choice for a patient needing to increase their potassium levels.

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A nurse is assessing a client with a major burn injury. Which of the following findings should the nurse prioritize?

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Naxlex Comprehensive Predictor Exams

Which laboratory finding is commonly associated with acute pancreatitis?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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A nurse is assessing a client with a major burn injury.

Which of the following findings should the nurse prioritize?