The nurse is caring for a child who has a superficial partial-thickness burn. Which of the following actions should the nurse take?
Administer IV infusion of 0.9% sodium chloride.
Apply cool, wet compresses to the affected area.
Clean the affected area with a soft-bristle brush.
Administer morphine sulfate.
The Correct Answer is B
Rationale:
A. IV fluids like 0.9% sodium chloride are typically reserved for more severe burns (e.g., deep partial- or full-thickness burns) that involve significant fluid loss.
B. Cool, wet compresses help reduce pain and limit the depth of injury in superficial partial-thickness burns. This is an appropriate and effective first-aid measure.
C. Using a soft-bristle brush can damage the delicate new tissue and worsen the injury. Gentle cleansing is needed, but not abrasive methods.
D. Morphine sulfate is used for moderate to severe pain, often in deeper burns. Superficial partial-thickness burns usually cause mild to moderate pain manageable with less potent analgesics.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Regular monitoring of T4 levels is necessary to ensure appropriate dosing and management of thyroid hormone replacement therapy.
B. Congenital hypothyroidism is a permanent condition that requires lifelong treatment with levothyroxine to prevent developmental delays and intellectual disability.
C. Early initiation of treatment, ideally within the first 2 weeks of life, is critical to prevent neurologic damage.
D. In congenital hypothyroidism, the thyroid gland is usually absent or severely underdeveloped, so it will not mature with time. Lifelong hormone replacement is necessary. This response indicates a misunderstanding and the need for further teaching.
Correct Answer is A
Explanation
Rationale:
A. Duchenne muscular dystrophy is a progressive, X-linked recessive disorder characterized by ongoing muscle fiber degeneration and weakness, typically worsening over time and leading to loss of ambulation and early death.
B. DMD is an X-linked recessive disorder, not dominant. Mothers are typically carriers, and males are affected. Parents are usually asymptomatic.
C. DMD has no cure, and spontaneous recovery of muscle function does not occur.
D. DMD is genetic, not caused by medication toxicity.
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