Following a serious thermal burn, which complication will the nurse take action to prevent first?

Tissue hypoxia.

Cardiac failure.

Hypovolemia.

Infection.

Answer and Explanation

The Correct Answer is C

Hypovolemia. Following a serious thermal burn, the nurse takes action to prevent hypovolemia, which can result from fluid loss due to the burn. Hypovolemia can lead to hypoperfusion of vital organs, including the kidneys, and can cause acute renal failure. Preventing hypovolemia is critical to preventing other complications such as tissue hypoxia, cardiac failure, and infection.

A. Tissue hypoxia and cardiac failure are consequences of hypovolemia due to decreased blood flow to organs.

D. Infection is not the immediate complication to prevent but is a potential complication following burn injury.

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Correct Answer is A

Explanation

A warm sensation. The most common sensation experienced when a contrast agent is injected into the body during diagnostic studies is a warm sensation, as the contrast agent causes a temporary increase in blood flow to the injected area.

Option B, Light-headedness, is not the most common sensation experienced during diagnostic studies with contrast agents.

Option C, Heart palpitations, are not common sensations experienced during diagnostic studies with contrast agents.

Option D, Chills, are not common sensations experienced during diagnostic studies with contrast agents.

A. Swelling. B. Change in the level of consciousness (LOC). C. Signs of increased intracranial pressure (ICP). D. Halo sign.

Correct Answer is D

Explanation

Halo sign. The presence of clear fluid with a yellowish ring around it (Halo sign) on the client's bed linens, tissues, or skin may indicate the presence of leaking of cerebral spinal fluid (CSF).

Swelling, choice A, change in the level of consciousness (LOC), choice B, and signs of increased intracranial pressure (ICP), choice C, may be indicative of a head injury, but do not specifically indicate the presence of leaking of CSF.

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Following a serious thermal burn, which complication will the nurse take action to prevent first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is instructing the client on frequent sensations experienced when a contrast agent is injected into the body during diagnostic studies. Which sensation is most common?

Correct Answer is A

Explanation

The nurse is caring for a client with a head injury after a fall from a hayloft. Which of the following indicates the presence of leaking of cerebral spinal fluid (CSF)?

Correct Answer is D

Explanation

The nurse is caring for a client with a degenerative joint disorder and is providing education about different medications that may be used to help the disorder. The nurse provides education for (SATA):.

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