A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of the burn. Which of the following findings should the nurse expect?

Hypernatremia

Hypercalcemia

Hypermagnesemia

Hyperkalemia

Answer and Explanation

The Correct Answer is D

A.   Hypernatremia: Hypernatremia (elevated sodium levels) is not typically associated with the emergent phase of burn injuries.
B.   Hypercalcemia: Hypercalcemia (elevated calcium levels) is not typically associated with the emergent phase of burn injuries.
C.   Hypermagnesemia: Hypermagnesemia (elevated magnesium levels) is not typically associated with the emergent phase of burn injuries.
D.   Hyperkalemia: Hyperkalemia (elevated potassium levels) is a common electrolyte imbalance seen in the emergent phase of burn injuries due to the release of potassium from damaged cells.
It can lead to cardiac dysrhythmias and other complications if not promptly addressed.

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Correct Answer is D

Explanation

A. Inserting an IV is not necessary for a nonstress test, which is a noninvasive procedure.
B. Fasting is not required for a nonstress test, as it does not involve any invasive procedures.
C. C. A nonstress test typically takes around 20 to 30 minutes to complete, not a minimum of 2 hours.
D. This is the correct answer. During a nonstress test, the client is asked to press a button every time they feel their baby move. This helps correlate fetal movements with changes in fetal heart rate, providing information about fetal well-being.

A. Discuss the client's feelings prior to the panic attack. B. Encourage the use of positive self-talk strategies. C. Instruct the client to use abdominal breathing. D. Administer an antianxiety medication.

Correct Answer is C

Explanation

A. Discussing the client's feelings prior to the panic attack may be helpful during a debriefing session but is not the priority during an acute panic attack.
B. While positive self-talk strategies can be beneficial for managing anxiety, they may not be effective during the acute phase of a panic attack when the client is experiencing overwhelming symptoms.
C. Instructing the client to use abdominal breathing helps to regulate breathing patterns and reduce the intensity of the panic attack by activating the parasympathetic nervous system.
D. Administering an antianxiety medication may be necessary in severe cases of panic attacks, but it is not typically the first intervention. Non-pharmacological techniques such as breathing exercises should be attempted first.

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A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of the burn. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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