The nurse is caring for a client with superficial partial thickness burn injuries to the upper and lower extremities. The client is ordered IV morphine for pain. The nurse recognizes that narcotics are given IV during the initial management of pain based on which on which of the following rationales?
Bleeding may occur at injection sites when the intramuscular route is used.
The client can experience nausea and vomiting when given oral medications.
Pain resulting from a burn injury requires relief by the fastest route available.
Damaged tissue and edema may interfere with drug absorption via other routes.
The Correct Answer is D
A. Bleeding may occur at injection sites when the intramuscular route is used: While possible, this is not the primary concern.
B. The client can experience nausea and vomiting when given oral medications: This may be true but is secondary to absorption issues.
C. Pain resulting from a burn injury requires relief by the fastest route available: Although IV is fast, the key issue is absorption.
D. Damaged tissue and edema may interfere with drug absorption via other routes: Burned and edematous tissue reduces IM and subcutaneous absorption, making IV the preferred route.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Decreased serum sodium: Kayexalate exchanges sodium for potassium, so sodium may actually increase.
B. Decreased serum phosphorus: Kayexalate does not directly affect phosphate levels.
C. Decreased urine specific gravity: Kayexalate does not influence urine output or concentration.
D. Decreased serum potassium: Kayexalate treats hyperkalemia by exchanging potassium ions for sodium in the intestines, lowering serum potassium.
Correct Answer is B
Explanation
A. pH 7.49, HCO₃ 24, PaCO₂ 30: Indicates respiratory alkalosis. Not consistent with AKI, which typically causes metabolic acidosis.
B. pH 7.26, HCO₃ 14, PaCO₂ 30: Reflects metabolic acidosis, expected in AKI due to accumulation of acidic waste (low pH, low bicarb), and partial respiratory compensation (low PaCO₂).
C. pH 7.49, HCO₃ 30, PaCO₂ 40: Reflects metabolic alkalosis; not expected in AKI.
D. pH 7.26, HCO₃ 24, PaCO₂ 46: Reflects respiratory acidosis (low pH, elevated CO₂), but bicarb is normal, which does not align with AKI-induced acidosis.
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