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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
- Rationale for A: The name and medical record number are unique identifiers that are used to accurately match a newborn with their medical records and ensure that the correct medication is administered. This method of identification minimizes the risk of medical errors, which is crucial in a hospital setting where multiple newborns may be present.
- Rationale for B: While the birth date and mother's name are important, they may not be as effective for identification because multiple newborns could share a birth date, and there could be more than one mother with the same name in the maternity ward.
- Rationale for C: Age and diagnosis are not specific enough for the identification of a newborn when administering medication. Age is not a distinguishing factor in a neonatal unit, and the diagnosis could apply to multiple infants.
- Rationale for D: Footprints and identification number can be used as secondary identifiers. However, footprints may change rapidly as the newborn grows, and the identification number should be cross-referenced with the name and medical record number for accurate identification.
Correct Answer is B
Explanation
A. Incorrect. Nicotine patches are intended to help individuals quit smoking by providing a controlled dose of nicotine without the harmful chemicals found in cigarettes. Continuing to smoke while using nicotine patches can increase the risk of nicotine toxicity and is not recommended.
B. Correct. Joining a support group is a beneficial strategy for smoking cessation as it provides social support, encouragement, and accountability, which can increase the likelihood of success.
C. Incorrect. Nicotine replacement therapy, including patches, gum, and lozenges, does not cause cancer. It helps individuals quit smoking by reducing withdrawal symptoms and cravings associated with nicotine dependence.
D. Incorrect. Varenicline (Chantix) is a medication used to help people quit smoking by reducing withdrawal symptoms and blocking the effects of nicotine. It does not make individuals addicted to nicotine; rather, it helps them overcome nicotine addiction.
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