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 B

Explanation

Impaired Gas Exchange. Impaired gas exchange is the greatest concern in the immediate postoperative period for a client recovering from bariatric surgery, as the client may have difficulty breathing due to anesthesia, pain medication, or obesity-related respiratory problems.

Option A, Impaired Mobility, is a concern but not the greatest concern in the immediate postoperative period.

Option C, Self-Care Deficit, may be an issue but is not the greatest concern in the immediate postoperative period.

Option D, Diarrhea, may occur after bariatric surgery but is not the greatest concern in the immediate postoperative period.

A. Joint. B. Cartilage. C. Tendon. D. Ligament.

Correct Answer is C

Explanation

Tendon. A tendon is a fibrous connective tissue that connects muscle to bone. Musculoskeletal injuries that involve tendons can result from overuse, trauma, or degeneration. Tendinitis, for example, is a common condition characterized by inflammation of a tendon.

Choice A, Joint, is incorrect because a joint is the point of articulation between two or more bones.

Choice B, Cartilage, is incorrect because cartilage is a tough, flexible connective tissue that cushions joints and supports various structures in the body.

Choice D, Ligament, is incorrect because a ligament is a fibrous connective tissue that connects bone to bone and provides stability to joints.

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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

A client, who is recovering from bariatric surgery, is returning from the post-anesthesia care unit. Which nursing assessment is of greatest concern in the immediate postoperative period for this client?

Correct Answer is B

Explanation

A client experiences a musculoskeletal injury that involves the structure that connects a muscle to the bone. The nurse understands that this injury involves which of the following?

Correct Answer is C

Explanation

You have a client admitted to the unit having suffered a cerebral vascular accident. You are planning the plan of care for the client. What nursing diagnosis would be included in the client's plan of care? Select all that apply.

Which technique would be most beneficial for ambulation of a client who is visually impaired?

You are taking care of a client who suffers from Meniere's disease. On assessment, you note what common symptoms of this disorder? Select all that apply.

The client had a nasogastric tube placed two days ago. Which nursing action provides the most reliable means to assess placement of a client's nasogastric tube, prior to each medication administration?

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A client is having a cast applied for a fractured leg that extends from below the knee to the base of the toes. The foot is flexed at a right angle in a neutral position. What type of cast is the client having applied?

When performing a physical examination on a client with cirrhosis, a nurse notices that the abdomen is enlarged. Which of the following interventions should the nurse consider?