A nurse is caring for a client who has an electrical burn. With the client’s permission, the nurse is answering questions from the family about his status.
Which of the following responses should the nurse make?
He has an electrical burn, which caused coagulation of some tissues
He is doing well, although he might be in the hospital for some time.
He does not appear to have much damage and should be fine soon
He has an electrical burn. He is stable, and we will update you with any changes.
The Correct Answer is D
A. He has an electrical burn, which caused coagulation of some tissues:
This response provides more detailed information about the nature of the electrical burn, mentioning tissue coagulation. However, it may be more information than the family needs at this point, and it's important to balance providing information with respecting the client's privacy.
B. He is doing well, although he might be in the hospital for some time:
While this response aims to reassure the family about the client's general status, it might not be entirely accurate or provide specific information about the client's condition. It's important to be transparent while respecting the client's privacy.
C. He does not appear to have much damage and should be fine soon:
This response may provide a sense of reassurance to the family, but it might oversimplify the situation. It's important to provide accurate and honest information while respecting the client's privacy.
D. He has an electrical burn. He is stable, and we will update you with any changes:
This response acknowledges the type of injury, assures the family that the client is stable, and communicates a commitment to keeping the family informed of any changes. It strikes a balance between providing some information and maintaining the client's privacy and confidentiality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Comatose:
Coma refers to a state of deep unconsciousness where the individual is unresponsive to stimuli, including pain or external stimulation. In the scenario described, the patient is not comatose because they can be awakened by gentle shaking and calling their name.
B. Awake and alert:
This term describes a state of full alertness and responsiveness to the environment. The patient in the scenario is not fully awake and alert since they appear drowsy most of the time and require external stimuli to be awakened.
C. Lethargic:
Lethargy is characterized by drowsiness, reduced alertness, and a sluggish response to stimuli. In the scenario, the patient is described as drowsy most of the time but can be awakened by gentle shaking and calling their name. This aligns with the characteristics of lethargy.
D. Stuporous:
Stupor is a state of reduced responsiveness where the individual can be aroused only by vigorous or painful stimuli. The patient in the scenario does not fit the criteria for stupor as they can be awakened by gentle shaking and calling their name.
Correct Answer is ["2"]
Explanation
To administer the ordered dose of digoxin, you need to calculate how many tablets of the available strength are equivalent to 0.25 mg. You can use the formula:
Ordered dose / Available dose = Number of tablets
Plugging in the values, you get:
0.25 mg / 0.125 mg = 2 tablets
Therefore, you need to administer two tablets of digoxin 0.125 mg to give the ordered dose of 0.25 mg.
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