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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is []
Explanation
Most Likely Condition:
Herpes zoster (Shingles): The client presents with a painful, burning, unilateral rash in a dermatomal distribution with grouped vesicles on an erythematous base — classic for herpes zoster (shingles). The shoulder x-ray is normal, ruling out musculoskeletal causes.
Actions to Take:
Anticipate administering an antiviral medication: Antiviral medications like acyclovir, valacyclovir, or famciclovir reduce the severity and duration of shingles if started early.
Request a prescription analgesic medication: Shingles is often extremely painful. Ibuprofen was ineffective, so stronger analgesics are likely needed.
Parameters to Monitor:
Pain: Pain monitoring assesses the effectiveness of analgesic and antiviral treatment.
Post-herpetic neuralgia (nerves): Monitoring for lingering nerve pain is crucial, as shingles can lead to long-term nerve damage.
Correct Answer is B
Explanation
A. Minimal edema in the affected extremities:
Expected after 72 hours as inflammation begins to subside.
B. Temperature of 39.1°C (102.4°F):
Elevated temperature may indicate infection or systemic inflammation and should be reported.
C. Pain at the burn sites:
Pain is expected, especially in partial-thickness burns where nerve endings are exposed.
D. Urine output of 30 mL/hr:
While on the lower end of normal, this is still acceptable for an adult (minimum: 30 mL/hr).
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