A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury to the lower torso 1 hr ago.

Which of the following findings should the nurse expect?

Urinary diuresis.

Hypotension.

Decreased respiratory rate.

Bradycardia.

Answer and Explanation

The Correct Answer is B

A full-thickness burn injury can result in fluid loss and low blood volume (hypovolemia), which can lead to hypotension.

Choice A, Urinary diuresis, is not the correct answer because it refers to increased production of urine and is not a common symptom of a full-thickness burn injury.
Choice C, Decreased respiratory rate, is not the correct answer because it refers to a decrease in the number of breaths per minute and is not a common symptom of a full-thickness burn injury.

Choice D, Bradycardia, is not the correct answer because it refers to a slow heart rate and is not a common symptom of a full-thickness burn injury.

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Correct Answer is C

Explanation

Colonics, also known as colonic irrigation or colon hydrotherapy, involves flushing the colon with fluids to remove waste and is not recommended for individuals with diverticulitis.
Choice A is wrong because acupuncture is not a contraindication for a client with diverticulitis.
Choice B is wrong because saw palmetto is not a contraindication for a client with diverticulitis.
Choice D is wrong because guided imagery is not a contraindication for a client with diverticulitis.

A. Distended abdomen. B. Clay-colored stools. C. Platelets 70,000/mm. D. Alkaline phosphatase 125 units/L.

Correct Answer is C

Explanation

Platelets 70,000/mm.
The priority finding for a nurse assessing a client who has cirrhosis to report is a platelet count of 70,000/mm.
A low platelet count (thrombocytopenia) can be a complication of cirrhosis and can increase the risk of bleeding.
A platelet count below 150,000/mm3 is considered low and should be reported to the provider.
Choice A is incorrect because while a distended abdomen can be a sign of ascites, a complication of cirrhosis, it is not the priority finding to report.
Choice B is incorrect because while clay-colored stools can be a sign of biliary obstruction, it is not the priority finding to report.
Choice D is incorrect because while an elevated alkaline phosphatase level can be a sign of liver damage, it is not the priority finding to report.

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A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury to the lower torso 1 hr ago. Which of the following findings should the nurse expect?

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A nurse is caring for a client in the emergency department who experienced a full-thickness burn injury to the lower torso 1 hr ago.

Which of the following findings should the nurse expect?