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

Administering pain medication

Providing emotional support to the client

Applying a topical burn ointment

Assessing the client's airway and breathing

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is B

Explanation

A. "I will clean the white patches off my baby's mouth with a washcloth after giving the nystatin.":
This removes the medication from the mucosa and reduces its effectiveness.

B. "I will make sure my child swishes the medication around in his mouth before swallowing it.":
Correct. Nystatin works best when in contact with the mucous membranes. For infants, it should be applied to oral surfaces with a dropper or swab.

C. "I will mix my baby's medication in a clear liquid and put it in her bottle.":
This dilutes the medication, making it less effective, and reduces mucosal contact time.

D. "I will give my baby the medication just before a feeding.":
Feeding right after administration may wash away the medication, reducing its efficacy.

A. Reports of joint discomfort B. Elevated temperature C. Denial of pruritus D. Reports of exposure to a skin irritant

Correct Answer is D

Explanation

A. Reports of joint discomfort:
Not typically associated with contact dermatitis.

B. Elevated temperature:
Systemic symptoms like fever are not common in localized contact dermatitis.

C. Denial of pruritus:
Itching (pruritus) is a hallmark symptom of contact dermatitis.

D. Reports of exposure to a skin irritant:
Contact dermatitis occurs following direct contact with an irritant or allergen.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching to a parent about the use of nystatin for their child who has oral candidiasis. Which of the following statements by the parent indicates an understanding of the administration of nystatin?

Correct Answer is B

Explanation

A nurse is collecting data from a client who has contact dermatitis of the neck and upper chest. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?

A nurse is collecting data from a client who sustained superficial partial-thickness and deep partial burns 72 hours ago. Which of the following findings should the nurse report to the provider?

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 nurse is caring for a client who has a large wound that has a vacuum-assisted closure device placed over it. Which of the following findings by the nurse indicates healing of the wound?

A nurse is reinforcing teaching with a client about maintaining skin integrity to decrease the risk of infection. Which of the following instructions should the nurse include?

A nurse is assisting with the care of a client who sustained severe carbon monoxide (CO) poisoning after being trapped in a burning building. Which of the following actions should the nurse take first?

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

A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an escharotomy and wants to know what the procedure involves. Which of the following statements is appropriate for the nurse to make?