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. Administering pain medication
Pain control is important but secondary to ensuring the airway is clear.

B. Providing emotional support to the client
While necessary, emotional support is not an immediate priority during the acute phase of burn care.

C. Applying a topical burn ointment
This is appropriate after stabilization, not before airway and breathing are assessed.

D. Assessing the client's airway and breathing
Airway and breathing take top priority in burn clients, especially if the burns involve the face, neck, or chest. Inhalation injury, edema, or airway obstruction can be life-threatening and must be assessed immediately.

A. It divides the body into eight equal regions, with each region representing 12.5% of the total body surface area. B. It divides the body into twelve equal regions, with each region representing 59% of the total body surface area. C. It divides the body into six equal regions, with each region representing 15% of the total body surface area. D. It divides the body into nine equal regions, with each region representing 100% of the total body surface area.

Correct Answer is A

Explanation

A. It divides the body into eight equal regions, with each region representing 12.5% of the total body surface area:
The Rule of Nines assigns percentages to major body parts (e.g., each leg = 18%, each arm = 9%, anterior torso = 18%) totaling 100%.

B. It divides the body into twelve equal regions, with each region representing 59% of the total body surface area:
Incorrect math and region count; total exceeds 100% and is not part of the rule of nines.

C. It divides the body into six equal regions, with each region representing 15% of the total body surface area:
Also incorrect; not consistent with the actual anatomic distribution used in the rule of nines.

D. It divides the body into nine equal regions, with each region representing 100% of the total body surface area:
Nonsensical; if each is 100%, total would be 900%, which is not accurate.

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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

When prioritizing the care of a client with burns, which intervention should the nurse implement first?

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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