The nurse is reviewing laboratory values for a patient receiving treatment during the emergent phase of burn management. Which laboratory result should the nurse expect for the patient at this time:

Increased hematocrit

Decreased blood urea nitrogen (BUN)

Decreased serum potassium

increased serum albumin

Answer and Explanation

The Correct Answer is A

Choice A rationale: During the emergent phase of burn management, patients commonly experience hemoconcentration due to fluid shift from the intravascular space to the interstitial space. This leads to an increase in hematocrit, indicating a higher concentration of red blood cells in the blood.
Choice B rationale: Burn injuries often result in increased protein breakdown and an elevation in BUN levels.
Choice C rationale: Burn injuries can cause the release of potassium from damaged cells, leading to hyperkalemia rather than hypokalemia.
Choice D rationale: The emergent phase of burn management is characterized by a decrease in serum albumin due to protein loss from the burned tissue and increased capillary permeability.

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Correct Answer is A

Explanation

Choice A rationale: A superficial wound with no exudate (fluid drainage) can benefit from a film dressing. Film dressings are transparent, adhesive, and provide a protective barrier while allowing visualization of the wound. They are suitable for wounds with minimal or no drainage.
Choice B rationale: Foam dressings are often used for wounds with moderate to heavy exudate. They provide absorption and insulation but may not be the best choice for a wound with no exudate.
Choice C rationale: Alginate dressings are absorbent and suitable for wounds with moderate to heavy exudate. They may not be necessary for a superficial wound with no drainage.
Choice D rationale: Hydrofiber dressings are absorbent and can handle moderate to heavy exudate. Like alginate dressings, they may not be the most appropriate choice for a wound with no exudate.

A. Massage bony prominences to promote circulation. B. Reposition the client every 3 hr. C. Provide the client with a diet high in protein. D. Apply cornstarch to keep the skin dry.

Correct Answer is B

Explanation

Choice A rationale: older adults have thin skin hence massaging bony prominences increases the risk of skin breakdown and pressure ulcers formation.
Choice B rationale: frequent client repositioning every 2-3 hourly is one of the mitigations used to prevent skin breakdown especially in older adults who are bedridden. It aids in the distribution of pressure on bony prominences and also relieves the pressure on the areas at risk and maintains muscle mass and tissue integrity.
Choice C rationale: a high protein diet is important for healthy skin formation. However, in this case frequent repositioning is more crucial for maintaining skin integrity in older adults.
Choice D rationale: cornstarch application can be used to prevent skin damage from friction. However, this is not as important as frequent repositioning.

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The nurse is reviewing laboratory values for a patient receiving treatment during the emergent phase of burn management. Which laboratory result should the nurse expect for the patient at this time:

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has a superficial wound with no exudate. The nurse should plan to use which of the following dressings to cover wound?

Correct Answer is A

Explanation

A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?

Correct Answer is B

Explanation

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