A nurse is caring for a client with partial-thickness and full-thickness burns on the head, neck, and chest.

What is the primary risk to the client?

Contractures

Fluid imbalance

Airway obstruction

Infection .

Answer and Explanation

The Correct Answer is C

Choice A rationale
Contractures, or the shortening and hardening of muscles, tendons, or other tissue, can be a complication of burns. However, they are not typically the primary risk for a patient with burns on the head, neck, and chest.
Choice B rationale
While fluid imbalance can occur with any burn due to loss of fluid from the damaged skin, it is not typically the primary risk for a patient with burns on the head, neck, and chest.
Choice C rationale
Airway obstruction is a primary risk for a patient with burns on the head, neck, and chest. Swelling from the burns can lead to obstruction of the airway, making it difficult for the patient to breathe.
Choice D rationale
While infection is a risk with any burn, it is not typically the primary risk for a patient with burns on the head, neck, and chest. The primary risk is airway obstruction due to swelling from the burns.

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Correct Answer is C

Explanation

Choice A rationale
At the time the client takes a proton-pump inhibitor. Sucralfate and proton pump inhibitors should not be taken at the same time. Sucralfate can interfere with the absorption of other medications.
Choice B rationale
At the time the client takes an antacid. Sucralfate and antacids should not be taken at the same time. Sucralfate can interfere with the absorption of other medications.
Choice C rationale
One hour before breakfast and the evening meal. This is the correct answer. Sucralfate is most effective when taken on an empty stomach. Taking it one hour before meals allows it to form a protective coating on the ulcer before food is introduced into the stomach.
Choice D rationale
Thirty minutes after breakfast and the evening meal. Sucralfate should not be taken immediately after meals. It is most effective when taken on an empty stomach.

A. “I take my other medications at least 30 minutes after my alendronate.”. B. “I take my alendronate on the same day every week with an 8-ounce glass of milk.”. C. “I sit up and read the morning paper after taking my alendronate.”. D. “I will need to have a bone density test occasionally while taking this medication.”.

Correct Answer is B

Explanation

Choice A rationale
Alendronate should be taken at least 30 minutes before the first food, beverage, or medication of the day with plain water only. This is because other beverages (including mineral water), food, and some medications are likely to reduce the absorption of alendronate.
Choice B rationale
Alendronate should not be taken with milk. This is because the calcium in the milk can bind to the alendronate, preventing it from being absorbed into the body and therefore making it less effective. This is why the patient’s statement indicates a need for further instruction.
Choice C rationale
After taking alendronate, the patient should not lie down and should remain fully upright (sitting, standing, or walking) for at least 30 minutes. This is to help alendronate reach the stomach more quickly and also to reduce the risk of irritation to the esophagus. Therefore, sitting up and reading the morning paper after taking alendronate is a correct practice.
Choice D rationale
Regular bone density tests are necessary while taking alendronate. This is to monitor the drug’s effectiveness in increasing bone mass and to adjust the treatment plan as necessary. Therefore, the patient’s statement is correct.

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A nurse is caring for a client with partial-thickness and full-thickness burns on the head, neck, and chest. What is the primary risk to the client?

Nursing Test Bank

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A nurse is caring for a client with partial-thickness and full-thickness burns on the head, neck, and chest.

What is the primary risk to the client?