A nurse is caring for a child who received partial-thickness burns to over 50% of his body 10 days ago and has splints over his joints to prevent contractures. Which of the following actions should the nurse take? (Select all that apply.)
Provide a high-calorie det
Monitor intake and output.
Change dressings using aseptic technique
Remove splints during sleep
Administer analgesics IM
Correct Answer : A,B,C
A. Providing a high-calorie diet is important for a child with extensive burns to support wound healing and recovery.
B. Monitoring intake and output is crucial to assess fluid balance and ensure that the child is receiving enough fluids and nutrients for healing.
C. Changing dressings using an aseptic technique helps prevent infection, which is a significant risk in burn wounds.
D. Removing splints during sleep is not recommended, as they are in place to prevent contractures. They should be worn consistently, including during sleep.
E. Administering analgesics IM (intramuscularly) is not typically indicated. Pain
management can be achieved through various routes, and IM administration may not be necessary. Additionally, it's important to consider the child's pain level and choose the most appropriate and effective route for analgesia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pinpoint pupils are a characteristic sign of opioid overdose, not inhalation of gasoline.
B. Correct. Ataxia (lack of coordination) can be a neurological symptom associated with inhalation of gasoline or other volatile substances. These substances can affect the central nervous system and lead to impaired coordination.
C. Hyperactive reflexes are not a typical finding associated with inhalation of gasoline.
This is more characteristic of conditions like hyperthyroidism or certain neurological disorders.
D. Hypothermia is not a typical finding associated with inhalation of gasoline. It is more likely to cause symptoms related to the central nervous system and respiratory system.
Correct Answer is B
Explanation
A. "Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle." This instruction is not related to safety. Proper seat height is important for comfort and efficiency but does not directly impact safety.
B. This is the correct instruction. Maintaining a distance of at least 3 feet from the curb while riding in the street allows space for maneuvering and helps prevent collisions with obstacles or parked cars.
C. "Your child should walk the bicycle through intersections." This is a good safety practice. Walking the bicycle through intersections reduces the risk of accidents with other vehicles.
D. "Your child should ride the bicycle against the flow of traffic." This is incorrect.
Children should ride their bicycles in the same direction as traffic. Riding against traffic increases the risk of accidents.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.