A nurse is caring for a child who received partial -thickness burn s to over 50% of his body 10 days ago and has splints over his joints to prevent contractures.
Which of the following action should the nurse take? (select all that apply.).
provide a high-calories diet
Administer analgesics IM.
monitor intake and output
remove splints during sleep.
change dressing using aseptic technique.
Correct Answer : A,C,E
Choice A rationale
Providing a high-calorie diet is a recommended action for a child who has received partial-thickness burns to
over 50% of his body. After a burn injury, the body needs extra calories and protein to heal, fight infection, and maintain its functions. A high-calorie diet can help meet these increased nutritional needs.
Choice B rationale
Administering analgesics intramuscularly (IM) is not a recommended action for a child with partial- thickness burns. Pain management is crucial in burn care, but analgesics should be given orally or intravenously, not IM, to avoid additional pain and tissue damage.
Choice C rationale
Monitoring intake and output is a recommended action for a child who has received partial-thickness burns to over 50% of his body. This can help assess the child’s hydration status, kidney function, and response to fluid replacement therapy.
Choice D rationale
Removing splints during sleep is not a recommended action for a child with partial-thickness burns. Splints are used to prevent contractures by keeping the joints in a functional position. They should be worn as prescribed by the healthcare provider, which often includes during sleep.
Choice E rationale
Changing dressings using aseptic technique is a recommended action for a child who has received partial- thickness burns to over 50% of his body. This can help prevent infection, promote healing, and assess the burn’s progress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice A. An increased respiratory rate is a sign of severe dehydration in infants. Dehydration occurs when an infant loses so much body fluid that they are not able to maintain ordinary function.
Correct Answer is ["2.2"]
Explanation
Step 1 is to calculate the total dose of ondansetron required. This is done by multiplying the child’s weight by the dose per kilogram. So, 29.4 kg × 0.15 mg/kg = 4.41 mg.
Step 2 is to calculate the volume of the solution required. This is done by dividing the total dose by the concentration of the solution. So, 4.41 mg ÷ (4 mg/2 mL) = 2.205 mL. The final calculated answer is that the nurse should administer approximately 2.2 mL of the ondansetron solution.
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