A nurse is teaching a client who has burns to the upper body about positioning to prevent contractures. Which of the following information should the nurse include?

"Keep your elbow in a flexed position."

"Remain in a side-lying position."

"Place a firm pillow under your head."

"Wear splints on your wrists."

Answer and Explanation

The Correct Answer is D

Rationale:

A. "Keep your elbow in a flexed position." Keeping the elbow in a flexed position increases the risk of contractures, particularly in the case of upper body burns. The goal is to keep the joints extended to prevent the development of contractures.

B. "Remain in a side-lying position." A side-lying position is not ideal for preventing contractures in the upper body. The client should be positioned to minimize pressure on the burn areas and encourage joint mobility, often with the client in a supine or elevated position.

C. "Place a firm pillow under your head." Placing a firm pillow under the head might cause the neck to flex, which could lead to neck contractures. A proper head and neck alignment should be maintained to avoid such complications.

D. "Wear splints on your wrists." Wearing splints on the wrists helps to keep the joints in proper alignment and prevents contractures by maintaining wrist extension. This is an appropriate intervention for clients with upper body burns to promote healing and function.

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Correct Answer is ["58"]

Explanation

Calculation:

Convert the client's weight from pounds (lb) to kilograms (kg).

Weight in kg = 160 lb / 2.2 lb/kg

= 72.7272... kg.

Calculate the total daily protein in grams (g).

Total daily protein (g) = RDA (g/kg) × Weight (kg)

= 0.8 g/kg × 72.7272... kg

= 58.1818... g.

Round the answer to the nearest whole number.

= 58 g.

Answer: 58 g

A. Cardiac findings B. Neurologic assessment C. Temperature D. Respiratory characteristics E. Urinalysis F. Cardiac rhythm. G. Breath Sounds H. Bowel sounds I. Respiratory rate

Correct Answer is ["A","C","D","E","G","I"]

Explanation

Rationale for Correct Choices:

A. Cardiac findings: The client has signs of fluid retention, including jugular vein distention (JVD) and periorbital edema, suggesting potential heart failure. Monitoring the heart and assessing for potential complications such as arrhythmias or decreased cardiac output is necessary.

B. Neurologic assessment: The client is alert and oriented to person, place, and time, with no signs of confusion or altered mental status. Neurological assessment does not need to be prioritized at this time.

C. Temperature: The elevated temperature of 38.8°C (101.8°F) could indicate an underlying infection. Given the client's recent history of strep throat and the signs of infection in the urine (positive nitrites and leukocyte esterase), a urinary tract infection (UTI) could be a potential cause for the fever.

D. Respiratory characteristics: The client has crackles bilaterally, labored breathing, and low oxygen saturation (90% on room air), which suggest respiratory distress. These findings need further follow-up.

E. Urinalysis: The urinalysis shows dark red color (indicative of hematuria), positive nitrites, positive leukocyte esterase, and blood in the urine. These results suggest a urinary tract infection (UTI) and possible kidney involvement. The reddish-brown urine may also require further assessment to rule out hemolysis or muscle injury.

F. Cardiac rhythm: The client’s heart rhythm is described as normal sinus rhythm (NSR) with a rate of 88/min. There are no immediate concerns about arrhythmias at this time, and the heart rate is within normal limits.

G. Breath sounds: The presence of crackles on auscultation in both lungs indicates possible pulmonary edema or fluid overload, which is commonly seen in heart failure. Follow-up is required to assess for worsening respiratory status and need for intervention.

H. Bowel sounds: The client's bowel sounds are normal, with no signs of gastrointestinal distress or obstruction. There is no indication of a problem in the GI system.

I. Respiratory rate: The client's respiratory rate is 26/min, which is elevated. This, combined with shortness of breath and labored respirations, indicates significant respiratory distress. It is a key indicator of impaired gas exchange or increased work of breathing.

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A nurse is teaching a client who has burns to the upper body about positioning to prevent contractures. Which of the following information should the nurse include?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["58"]

Explanation

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