The nurse is explaining to a family the benefit of a patient-controlled analgesia pump. Which of the following is an appropriate use of Dilaudid PCA for burn patients?

To prevent infection in burn wounds

To promote wound healing in burn patients

To decrease the risk of hypothermia in burn patients

To provide controlled and individualized pain relief in burn patients

Answer and Explanation

The Correct Answer is D

A. To prevent infection in burn wounds:
Analgesics like Dilaudid do not prevent infection; antibiotics and wound care do.

B. To promote wound healing in burn patients:
Pain control may aid indirectly, but opioids do not promote wound healing directly.

C. To decrease the risk of hypothermia in burn patients:
Hypothermia prevention involves warm blankets, warming devices, and fluid management-not PCA.

D. To provide controlled and individualized pain relief in burn patients:
PCA pumps allow patients to self-administer opioid analgesia, offering consistent, effective pain control with less risk of overdose when properly programmed.

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Correct Answer is D

Explanation

A. Restricted movement:
May occur due to pain or immobilization but does not increase metabolic demand significantly.

B. Reduced pain medications:
May increase discomfort but does not directly increase the metabolic rate.

C. Decreased fluid resuscitation:
Leads to hypoperfusion and shock, not increased metabolism.

D. Inflammation caused by the burn:
Correct. Severe burns trigger a hypermetabolic response due to systemic inflammation, catecholamine release, and tissue repair demands.

Correct Answer is []

Explanation

Most Likely Condition:
Herpes zoster (Shingles): The client presents with a painful, burning, unilateral rash in a dermatomal distribution with grouped vesicles on an erythematous base — classic for herpes zoster (shingles). The shoulder x-ray is normal, ruling out musculoskeletal causes.

Actions to Take:
Anticipate administering an antiviral medication: Antiviral medications like acyclovir, valacyclovir, or famciclovir reduce the severity and duration of shingles if started early.

Request a prescription analgesic medication: Shingles is often extremely painful. Ibuprofen was ineffective, so stronger analgesics are likely needed.

Parameters to Monitor:
Pain: Pain monitoring assesses the effectiveness of analgesic and antiviral treatment.

Post-herpetic neuralgia (nerves): Monitoring for lingering nerve pain is crucial, as shingles can lead to long-term nerve damage.

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The nurse is explaining to a family the benefit of a patient-controlled analgesia pump. Which of the following is an appropriate use of Dilaudid PCA for burn patients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the care plan with the dietician or nutritionist for a burn client. The nurse knows which of the following factors contribute to the increased metabolic demands in burn patients?

Correct Answer is D

Explanation

Correct Answer is []

Explanation

A nurse is collecting data on a client who has a major burn injury. The nurse should recognize which of the following findings as a priority?

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A nurse is caring for a client who has herpes zoster. Which of the following actions should the nurse take?

Which instructions should the nurse provide to the patient being treated with scabies?

Which of the following is a potential adverse reaction to silver sulfadiazine in burn victims?

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