A nurse is caring for a client who has a full-thickness burn injury covering 15% of their body. Which of the following actions should the nurse take?

Place the client on a low-carbohydrate diet.

Monitor the client's calorie intake daily.

Place the client on strict bed rest.

Weigh the client once per week.

Answer and Explanation

The Correct Answer is B

A) Place the client on a low-carbohydrate diet:
A low-carbohydrate diet is not appropriate for a client with full-thickness burns, as their nutritional needs are significantly increased due to the high metabolic demands of wound healing. A high-calorie, high-protein diet is usually recommended to support recovery and manage the increased energy expenditure associated with burn injuries.

B) Monitor the client's calorie intake daily:
Daily monitoring of calorie intake is crucial for clients with significant burn injuries. Burns increase metabolic demands, and the client’s nutritional needs must be closely tracked to ensure adequate caloric and protein intake, which is essential for wound healing and overall recovery. Regular monitoring helps adjust dietary needs as required.

C) Place the client on strict bed rest:
Strict bed rest is not indicated for clients with burns, as mobility and physical therapy are important for maintaining muscle strength and preventing complications like contractures. While rest is important, a balanced approach involving gradual mobilization is preferred to support functional recovery.

D) Weigh the client once per week:
Weekly weighing may not be frequent enough for clients with burn injuries, as their weight can fluctuate significantly due to changes in fluid status and nutritional needs. More frequent monitoring is necessary to ensure that the client is receiving adequate nutrition and to assess their overall progress.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A) "I should expect to take my medication for 3 weeks":
This statement indicates an understanding of the medication regimen. For genital herpes, antiviral medications are often prescribed for several days to suppress outbreaks and reduce transmission risk. Typical courses last about a week, but extended treatment may be required in some cases. It's important for the client to adhere to the prescribed duration of therapy.

B) "I should apply antibiotic ointment to the lesions":
Antibiotic ointments are not used for genital herpes, as it is a viral infection, not a bacterial one. Antiviral medications are the appropriate treatment. This statement reflects a misunderstanding of the treatment approach.

C) "I should expect my lesions to resolve in 6 weeks":
Genital herpes lesions usually heal within 2 to 4 weeks with appropriate antiviral treatment. A 6-week timeframe is longer than typical for lesion resolution. This indicates a misunderstanding of the expected course of the infection.

D) "I should use natural skin condoms during sexual intercourse":
Natural skin condoms do not provide protection against sexually transmitted infections, including genital herpes. Latex or polyurethane condoms are recommended for protection and to reduce transmission risk. This statement shows a lack of understanding about effective preventive measures.

A. Restlessness B. Papilledema C. Projectile vomiting D. Decorticate posturing

Correct Answer is A

Explanation

A) Restlessness:
Restlessness is an early sign of increased intracranial pressure (ICP). It results from the brain's initial response to the pressure changes, which can cause alterations in mental status, such as confusion, agitation, or anxiety. Identifying restlessness early allows for timely intervention to prevent further complications.

B) Papilledema:
Papilledema is the swelling of the optic disc due to increased ICP, but it typically develops later in the progression of the condition. It is often observed on a fundoscopic examination and indicates more prolonged or severe intracranial hypertension.

C) Projectile vomiting:
Projectile vomiting can occur with increased ICP but is usually a later sign. It is associated with pressure on the brainstem and is often accompanied by other severe symptoms, such as headache and changes in consciousness.

D) Decorticate posturing:
Decorticate posturing is a late sign of increased ICP and indicates significant brain injury or herniation. It involves abnormal flexion of the arms and extension of the legs, reflecting severe damage to the corticospinal tract.

View Question and Answer

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

A nurse is caring for a client who has a full-thickness burn injury covering 15% of their body. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?

Correct Answer is A

Explanation

A nurse is assessing a client following the administration of an initial dose of captopril. Which of the following findings indicates an anaphylactic response?

A nurse on a medical-surgical unit is preparing to administer amoxicillin PO when the client refuses the medication. Which of the following actions should the nurse take?

A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?

A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, "I don't like taking medications because I don't think I need them." Which of the following responses should the nurse make?

A nurse is preparing to obtain a guaiac smear sample from a client for fecal occult blood testing. Which of the following actions should the nurse plan to take?

A nurse is triaging clients following a mass casualty accident. Which of the following clients should be the nurse's priority?

A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?

A nurse in a provider's office is evaluating a client who has been taking lisinopril for hypertension. The nurse should identify which of the following findings as an adverse effect of this medication?