A nurse is assisting with the care of a client that sustained deep partial thickness and full thickness burns over 60% of their body 24 hours ago and is requesting pain medication. The nurse would ensure the medication is administered using which of the following routes to administer the medication?

Subcutaneous

Intravenous

Transdermal

Oral

Answer and Explanation

The Correct Answer is B

A. Subcutaneous
Poor tissue perfusion in burn clients makes subcutaneous administration ineffective.

B. Intravenous
In the acute phase of major burns, the IV route is preferred for analgesia because of unreliable absorption from other routes due to poor tissue perfusion.

C. Transdermal
Damaged or burned skin will not absorb medications effectively.

D. Oral
Oral absorption may be delayed or unpredictable due to stress responses, NPO status, or ileus in critically ill burn clients.

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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Apply dry, sterile gauze dressings to affected areas
Shingles lesions are usually left open to air or covered with non-adherent dressings. Dry gauze may adhere to lesions and cause trauma.

B. Prepare to administer acyclovir
Acyclovir is an antiviral medication used to reduce severity and duration of herpes zoster (shingles) symptoms.

C. Apply topical corticosteroids to the affected areas
Topical corticosteroids are not recommended for herpes zoster as they can worsen viral infections.

D. Instruct family with a history of chickenpox that they should not visit the client
People who have had chickenpox are immune to varicella-zoster virus and can visit safely. Only individuals without prior exposure or vaccination should avoid contact.

A. Adequate Tissue Perfusion B. Risk for infection C. Impaired Gas Exchange D. Acute Pain E. Fluid Volume Deficit

Correct Answer is ["B","C","D","E"]

Explanation

A. Adequate Tissue Perfusion
While this important in burn management, it is not typically classified as a priority nursing diagnosis in the early stages of treatment.

B. Risk for infection
Burned skin is a lost barrier to pathogens, increasing infection risk.

C. Impaired Gas Exchange
Especially in cases of inhalation injury, airway swelling or carbon monoxide exposure can impair gas exchange.

D. Acute Pain
Burns cause significant pain that requires management for comfort and healing.

E. Fluid Volume Deficit
Burns result in fluid shifts and capillary leakage, leading to hypovolemia.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has herpes zoster. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

Priority nursing diagnoses for burns include: (Select All That Apply)

Correct Answer is ["B","C","D","E"]

Explanation

A patient is to receive heparin 6,000 units subcutaneously every 12 hours for DVT. The pharmacy dispenses a vial containing 10,000 units/1 mL. How many milliliters of heparin should the nurse administer? Express to the tenth.

The nurse is explaining to a family the benefit of a patient-controlled analgesia pump. Which of the following is an appropriate use of Dilaudid PCA for burn patients?

A patient is brought to the emergency department after a house fire. the patient has extensive trunk and lower extremity burns and is diagnosed with a full thickness burn. What assessment findings does the nurse expect?

A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?

Which of the following is a potential adverse reaction to silver sulfadiazine in burn victims?

A nurse in a provider's office is caring for a client who has tinea pedis. Which of the following findings should the nurse expect?

While collecting data on a patient, the nurse observes that the patient's facial skin is reddened and is covered with greasy scales, yellowish crusts. What skin disorder does the nurse expect the patient to be treated for?

The nurse is taking care of a burn patient with deep partial-thickness burns. Which of the following factors can contribute to fluid imbalance in burn patients?