client who suffered burn injuries to their face and entire left arm is to receive lactated ringers. The client weighs 73 kg. How much fluid will be infused for the first 8 hours? (Round to the nearest whole number).

Answer and Explanation

The Correct Answer is ["1971"]

Face: 4.5%

Left arm: 9%

Total TBSA = 4.5 + 9 = 13.5%

Fluid needed in 24 hours = 4 mL × 73 kg × 13.5 = 3942 mL (rounded)

Half of this is given in the first 8 hours: 3942 ÷ 2 = 1971 mL

Nursing Test Bank

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Correct Answer is ["C","D","E"]

Explanation

A. Vital signs should be monitored more frequently than every 4 hours immediately after cardiac catheterization, often every 15 minutes initially.
B. The client should be positioned supine or with minimal elevation to avoid stress on the catheter insertion site, not in high-Fowler’s position.
C. Keeping the affected extremity straight helps prevent bleeding and dislodgement of the vascular closure.
D. Bedrest for the prescribed time is essential to promote hemostasis and prevent complications.
E. Checking peripheral pulses ensures adequate circulation and detects possible vascular complications early.

A. Temperature B. Bilirubin C. Blood pressure D. Scattered ecchymosis on the upper limbs E. Ammonia level F. Abdominal girth G. Asterixis

Correct Answer is ["C","E","G"]

Explanation

A. Temperature (96.9°F / 36°C) – Mild hypothermia, but not immediately life-threatening; does not require immediate follow-up.

B. Bilirubin (6.2 mg/dL) – Significantly elevated and indicates worsening liver function, but this is expected in cirrhosis and does not require immediate action unless accompanied by signs of acute liver failure.

C. Blood pressure (82/58 mm Hg) – Requires immediate follow-up as this indicates hypotension, which can be due to complications like sepsis, hepatorenal syndrome, or third-spacing from ascites.

D. Scattered ecchymosis – Indicates coagulopathy, which is common in cirrhosis; important but not immediately life-threatening unless active bleeding is present.

E. Ammonia level (78 mcg/dL) – Requires immediate follow-up. This is markedly elevated and correlates with hepatic encephalopathy, especially in the presence of neurologic symptoms.

F. Abdominal girth increase – Suggests worsening ascites; needs management but not as urgent as hemodynamic instability or encephalopathy signs.

G. Asterixis (flapping tremor) – Requires immediate follow-up. This is a classic sign of hepatic encephalopathy, which can progress rapidly and lead to coma if untreated.

View Question and Answer

A nurse is caring for a client who has a pneumothorax.

Exhibits

A nurse is reviewing the client's medical record. Which of the following prescriptions should the nurse anticipate for a client who has a pneumothorax?

For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

View Question and Answer

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client who suffered burn injuries to their face and entire left arm is to receive lactated ringers. The client weighs 73 kg. How much fluid will be infused for the first 8 hours? (Round to the nearest whole number).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who just had a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

A nurse is caring for a client who has cirrhosis of the liver. Exhibits Which of the following assessment findings require immediate follow-up? Select all that apply.

Correct Answer is ["C","E","G"]

Explanation

A nurse is planning care for a client who has end-stage cirrhosis of the liver with encephalopathy. Which of the following interventions should the nurse plan to implement to decrease the client's ammonia level?

client who suffered burn injuries to their face and entire left arm is to receive lactated ringers. The client weighs 73 kg. How much fluid will be infused for the first 8 hours? (Round to the nearest whole number).

A nurse is assessing a client who has meningitis and notes that the client experiences pain with extension of their leg from a flexed positions. Which of the following conditions is the client displaying?

The client's low volume alarm on the ventilator begins to alarm after the x-ray technicians completed the routine chest x-ray. The primary nurse walks in and troubleshoots the alarm by doing which of the following? (Select all that apply.)

A nurse caring for a client with diabetic ketoacidosis (DKA) has initiated the treatment plan. Which of the following electrolyte imbalance will the nurse be monitoring closely for this client?

A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?