Select the answer that is NOT a possible complication from a severe burn

Respiratory distress

Hypovolemic shock

Heart failure

Infection

Answer and Explanation

The Correct Answer is C

A. Respiratory distress – This is a possible complication, especially if the burn involves the airway or there is inhalation injury from smoke or toxic fumes.
B. Hypovolemic shock – This is a common early complication of severe burns due to massive fluid loss from damaged capillaries, leading to decreased circulating volume.
C. Heart failure – While heart failure may occur in patients with pre-existing cardiac conditions or from fluid overload during resuscitation, it is not a typical direct complication of a severe burn in an otherwise healthy individual.
D. Infection – Infection is a major and life-threatening complication of burns, especially after the initial stage, due to loss of the skin barrier and immune suppression.

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Correct Answer is D

Explanation

A. "I eat a green salad every night with dinner." – While green leafy vegetables contain vitamin K, which can affect warfarin, consistent intake is acceptable. The key is to avoid sudden changes in vitamin K consumption.
B. "I take this medication at the same time each day." – This is correct practice. Taking warfarin at the same time daily helps maintain a stable INR.
C. "I had my INR checked three weeks ago." – While INRs should be checked regularly, especially when dosing changes or risks arise, a three-week interval may be acceptable if the INR has been stable.
D. "I have started taking ginger root to treat my joint stiffness." – (Needs further teaching). Ginger root can increase the risk of bleeding when taken with warfarin due to its antiplatelet effects. Clients should be instructed to avoid herbal supplements that may interact with warfarin unless approved by their provider.

A. The client has become addicted to the medication. B. The client is experiencing episodes of confusion. C. The client developed a tolerance to the medication. D. The client not been taking the medication properly.

Correct Answer is C

Explanation

A. The client has become addicted to the medication. – Addiction involves compulsive drug-seeking behavior and use despite harm. In a hospice setting, tolerance and dependence are expected and should not be confused with addiction.
B. The client is experiencing episodes of confusion. – While morphine may cause confusion, especially in elderly or very ill clients, this does not explain the need for a higher dose for pain relief.
C. The client developed a tolerance to the medication. – Tolerance occurs when the body becomes accustomed to a drug, requiring higher doses to achieve the same effect. This is common with long-term opioid use for chronic or terminal pain.
D. The client has not been taking the medication properly. – There is no indication of noncompliance. The need for a higher dose is more accurately attributed to tolerance, especially in terminal illness.

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Select the answer that is NOT a possible complication from a severe burn

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who takes warfarin daily. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is D

Explanation

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

Correct Answer is C

Explanation

A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions?

A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse effect of the medication?

A nurse is teaching about medications to a group of clients. Which of the following statements by a client indicates a need for further teaching?

Which of the following is a life-threatening, prolonged asthma attack that does not respond to the usual treatment?

Based on your patient's ABG's what acid-base imbalance is present? pH 7.30 HCO3 23 PaCO2 49.

A client with COPD develops a barrel chest over time. What is the primary reason for this change?

A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client?