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 B

Explanation

Choice A rationale: Wearing gloves is appropriate when providing direct care to a client with shingles to prevent the spread of the virus.
Choice B rationale: Shingles is caused by the varicella-zoster virus, and it is highly contagious. Placing a client with shingles in a double room increases the risk of spreading the virus to other clients, especially those with compromised immune systems.
Choice C rationale: Wearing a gown is appropriate when there is a risk of contact with the client's lesions to prevent the spread of the virus.
Choice D rationale: While wearing a mask may be indicated for certain respiratory conditions, it is not typically required when caring for a client with shingles.

A. Question the charge nurse about care deficits that might have contributed to the ulcer's development. B. Document what the nurse believes was the cause of ulcer development C. Include any relevant statements the client made about the ulcer D. Document in the client's medical record that she completed an incident report

Correct Answer is C

Explanation

Choice A rationale: The nurse should not include any opinions, judgments, or blame in the incident report, as this could be used as evidence in a legal case. Therefore, the nurse should not question the charge nurse about care deficits.
Choice B rationale: The nurse should not include any opinions, judgments, or blame in the incident report, as this could be used as evidence in a legal case. Therefore, the nurse should not document what the nurse believes was the cause of ulcer development.
Choice C rationale: This is important because it provides factual information about the client's condition and perception of the event, which could help in identifying the factors that contributed to the ulcer development and preventing further complications.
Choice D rationale: Documenting in the client's medical record that the nurse completed an incident report is not the primary purpose of the incident report itself. Incident reports are internal documents used by the healthcare facility to track and investigate events. The documentation in the client's medical record should focus on the client's clinical condition, care provided, and response to treatment.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has shingles with multiple skin lesions. Which of the following actions by the nurse require intervention nurse's supervisor?

Correct Answer is B

Explanation

A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. When completing an incident about a pressure ulcer, the nurse should take which of the following actions?

Correct Answer is C

Explanation

A nurse in a provider's office is caring for a client who reports pruritus and reddened, oozing lesions on her lower leg. The nurse should suspect which of the following disorders?

A nurse is teaching a class about expected changes to the skin in older adults. Which of the following information should the nurse include?

A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2). Which of the following findings should the nurse expect?

A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?

A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?

A nurse is caring for a preschooler who has a partial-thickness burn on her right forearm. Which of the following findings should the nurse expect? (Select all that apply.)

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?

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