A nurse is caring for a patient with 40% TBSA burns who is receiving fluid resuscitation. Which of the following nursing interventions is the priority?

Clinical Scenario:

A nurse is assessing a patient who reports joint pain, morning stiffness, and difficulty gripping objects. The nurse observes bony enlargements at the distal and proximal interphalangeal joints of both hands.

Which of the following findings should the nurse document in the patient's assessment?

A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

A nurse is providing initial emergency care for a client with extensive burns. Which of the following interventions should the nurse perform first?

A nurse is assessing a patient who presents with a scaly, crusted lesion with a central ulceration on the lower leg, as shown in the image. The lesion appears rough, firm, and does not heal despite previous treatments. The nurse suspects squamous cell carcinoma (SCC). What is the priority nursing action?

A nurse is providing teaching for a client who is postoperative following below-the-knee amputation. The nurse should instruct the client that which of the following nutrients is necessary for wound healing?

Clinical Scenario:

A nurse is assessing a patient who is 2 plays post-total hip arthroplasty (THA). The patient reports sudden severe hip pain while repositioning in bed. Upon examination, the nurse notes that the affected leg appears shortened and externally rotated.

Which additional finding would confirm that the patient has experienced a hip dislocation?

A 65-year-old patient presents to the clinic with complaints of joint pain in the knees and hands. The patient states, "The pain gets worse when I walk or use my hands for too long, but it feels better when I rest." The nurse recognizes that the patient's symptoms are most consistent with which condition?

A nurse is reviewing the medical record of a patient diagnosed with Stevens-Johnson Syndrome (SJS). Which of the following findings should the nurse identify as the most likely cause of this condition?

A nurse is providing discharge instructions to the parent of a child diagnosed with impetigo. Which of the following statements by the parent indicates a correct understanding of the treatment plan?

A nurse is caring for a client who has a fractured right femur and is in balanced suspension traction. The client is reporting pain from muscle spasms. Which of the following actions should the nurse take first?