A nurse is monitoring the fluid replacement of a client who has sustained burns. Which of the following fluids should the nurse use in the first 24 hr following a client’s burn injury?

Lactated Ringer’s

Dextrose 5% in water

0.9% sodium chloride

Dextrose 5% in 0.9% sodium chloride

Answer and Explanation

The Correct Answer is A

A.   Lactated Ringer’s is the preferred fluid for fluid resuscitation in the first 24 hours after a burn injury as it helps replace lost fluids and electrolytes.
B.   Dextrose 5% in water is not the primary fluid for burn resuscitation.
C.   0.9% sodium chloride may be used, but Lactated Ringer’s is often preferred.
D.   Dextrose 5% in 0.9% sodium chloride is not the primary fluid for burn resuscitation.

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Correct Answer is B

Explanation

A. Leaving the client during a seizure can lead to injury. The nurse should stay with the client.
B. Placing a towel under the client's head helps protect the head from injury during a seizure.
C. Placing the client in the prone position can compromise the airway and increase the risk of aspiration.
D. Holding the client's arms and legs still can be difficult and may result in injury to the client or the nurse. The priority is to protect the client from injury during the seizure.

A. FACES B. Oucher C. Visual Analog Scale D. FLACC

Correct Answer is D

Explanation

A. The FACES scale is typically used with older children who can express their pain using facial expressions.
B. The Oucher scale is a self-report scale that relies on the child's ability to match their pain level to a set of standardized photographs.
C. The Visual Analog Scale is used with older children and adults but is not appropriate for infants.
D. The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for infants and nonverbal children, taking into account their facial expressions, leg movement, activity level, cry, and consolability.

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A nurse is monitoring the fluid replacement of a client who has sustained burns. Which of the following fluids should the nurse use in the first 24 hr following a client’s burn injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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