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 []

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.

A. Assist the client with physical therapy exercises B. Administer pain medication as ordered C. Monitor for signs of infection D. Educate the client about the importance of sun protection and skin checks

Correct Answer is D

Explanation

A. Assist the client with physical therapy exercises:
May be useful postoperatively or in metastatic cases, but not a priority intervention specific to melanoma.

B. Administer pain medication as ordered:
Important if there's pain, but melanomas are often painless. This is supportive, not specific.

C. Monitor for signs of infection:
More relevant post-surgery or chemotherapy, not specific to melanoma management.

D. Educate the client about the importance of sun protection and skin checks:
Prevention and early detection are essential for reducing recurrence and catching new melanomas early.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

Which of the following nursing interventions is appropriate for a client with malignant melanoma?

Correct Answer is D

Explanation

The nurse is caring for a patient with lesions on the skin. Which of the following assessment findings would cause the nurse to suspect scabies?

Priority nursing diagnoses for burns include: (Select All That Apply)

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?

A nurse in a provider's office is collecting data from a client who has severe sunburn. Which of the following classifications should the nurse use to document this burn?

A nurse is collecting data from a client who has an arm lesion. Which of the following characteristics is a clinical manifestation of a malignant melanoma?

A school nurse is completing routine health evaluations for school-age children. Which of the following manifestation should alert the nurse to the possibility of pediculosis capitis?

A physician orders IV normal saline solution to be infused at a rate of 150 mL/hr for a patient. How many milliliters of solution will the patient receive during an 8 hour shift. Express your answer to the nearest whole number