A nurse is assisting in the care of a client who has severe burns.

Exhibits

Which of the following actions should the nurse take when caring for a client who has severe burns to the lower extremities? Select all that apply.

Cool the burn with ice water.

Administer opioid analgesics.

Administer systemic antibiotics.

Keep extremities elevated.

Remove all sheets and coverings.

Answer and Explanation

Correct Answer : B,C,D

A. Cool the burn with ice water:
Never use ice on burns. It can cause vasoconstriction and worsen tissue injury.

B. Administer opioid analgesics:
Severe pain is common in burn injuries. IV opioids are preferred for rapid onset and titration.

C. Administer systemic antibiotics:
Burn injuries compromise the skin barrier, increasing the risk of infection. Systemic antibiotics may be necessary to prevent or treat infections.

D. Keep extremities elevated:
Elevating extremities helps reduce edema and improve venous return.

E. Remove all sheets and coverings:
Sheets may provide warmth and protection. Removing them indiscriminately may worsen hypothermia or cause further trauma to the skin.

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Free Nursing Study Resources

Correct Answer is ["1200"]

Explanation

Order: 150 mL/hr for 8 hours

150×8=1,200mL

Answer: 1,200 mL

A. "I should apply a sunscreen with an SPF of 30.” B. "Sunscreen does not need to be applied on a cloudy day." C. "A sunscreen is a better choice for my toddler than a sunblock." D. "I can expose my 3-month-old infant to the sun if I apply sunscreen."

Correct Answer is A

Explanation

A. "I should apply a sunscreen with an SPF of 30.”
SPF 30 is the recommended minimum for effective sun protection. It blocks about 97% of UVB rays.

B. "Sunscreen does not need to be applied on a cloudy day."
Up to 80% of UV rays can penetrate clouds, so sunscreen is still necessary on cloudy days.

C. "A sunscreen is a better choice for my toddler than a sunblock."
Sunblock (physical blockers like zinc oxide) are often safer and more effective for young children than chemical sunscreens.

D. "I can expose my 3-month-old infant to the sun if I apply sunscreen."
Sunscreen is not recommended for infants under 6 months. They should be kept out of direct sunlight entirely.

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A nurse is assisting in the care of a client who has severe burns. Exhibits Which of the following actions should the nurse take when caring for a client who has severe burns to the lower extremities? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A physician orders IV normal saline solution to be infused at a rate of 150 mL/hr for a patient. How many milliliters of solution will the patient receive during an 8 hour shift. Express your answer to the nearest whole number

Correct Answer is ["1200"]

Explanation

A nurse at a community center is assisting with a presentation about sun protection to a group of residents. Which of the following responses by the residents indicates an understanding of the teaching?

Correct Answer is A

Explanation

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A nurse is assisting in the care of a client who has severe burns.

Exhibits

Which of the following actions should the nurse take when caring for a client who has severe burns to the lower extremities? Select all that apply.