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

Gigantism. Oversecretion of growth hormone before puberty leads to gigantism, which is characterized by excessive growth in height and length of bones. The growth hormone stimulates the growth of cartilage and bone, resulting in an increased height. When oversecretion occurs after puberty, it results in acromegaly, which is characterized by the enlargement of bones in the face, hands, and feet.

Choice A, Acromegaly, is incorrect because acromegaly results from oversecretion of growth hormone after puberty, and not before puberty.

Choice C, Dwarfism, is incorrect because dwarfism is caused by insufficient growth hormone secretion or poor response to the hormone, and not oversecretion.

Choice D, Simmonds disease, is incorrect because Simmonds disease is a rare disorder characterized by the atrophy of the pituitary gland, which results in decreased secretion of several hormones, including growth hormone.

A. Greenstick. B. Pathologic. C. Compound. D. Impacted.

Correct Answer is A

Explanation

Greenstick fractures are incomplete fractures, which are common in children due to their bones being more flexible than in adults. These fractures occur when the bone is bent and partially broken, but not completely separated. Pathologic fractures occur in bones that are weakened due to conditions such as osteoporosis or cancer. Compound fractures occur when the broken bone pierces the skin. Impacted fractures occur when the broken ends of a bone are driven into each other.

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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 reviewing a client's history which reveals that the client has had an oversecretion of growth hormone (GH) that occurred before puberty. The nurse interprets this as which of the following?

Correct Answer is B

Explanation

The nurse is assessing a 2-year-old client who has sustained a fracture from falling off a slide while playing in the park. What type of fracture did the child most likely sustain?

Correct Answer is A

Explanation

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