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NUR 410 Med-Surg Final Exam Questions & Answers - Which IV solution should the nurse anticipate administering to a client who sustained severe burns? $13.64
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NUR 410 Med-Surg Final Exam Questions & Answers - Which IV solution should the nurse anticipate administering to a client who sustained severe burns?
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NUR 410 Med-Surg Final Exam Questions & Answers-Which IV solution should the nurse anticipate administering to a client who sustained severe burns? A. D5W (5% dextrose in water) B. Lactated Ringers solution C. D5 1/2 normal saline with 20 mEq of potassium chloride. D. Hespan - B. Lactated...

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  • April 22, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NUR 410 Med-Surg
  • NUR 410 Med-Surg

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NUR 410 Med-Surg Final Exam Questions & Answers
Which IV solution should the nurse anticipate administering to a client who sustained severe
burns?
A.
D5W (5% dextrose in water)
B.
Lactated Ringers solution
C.
D5 1/2 normal saline with 20 mEq of potassium chloride.
D.
Hespan - B.
Lactated Ringers solution

The nurse on the burn unit provides care for a client with a new autograft on the left elbow.
Which actions does the nurse take to improve skin graft outcomes? (select all that apply)
A.
Conduct range of motion exercises daily.
B.
Maintain gauze dressing over autograft for 3-5 days.
C.
Assist with incentive spirometry hourly while awake.
D.
Increase ambulation to tolerance.
E.
Immobilize the left arm. - B & E

The nurse assesses a newly admitted client following a burn injury. Which assessment findings
cause the nurse to suspect inhalation injury? (Select all that apply)
Facial burns
Singed nasal hair
Hemoptysis
Heart rate 112 beats/min
Audible Stridor - Audible stridor
Facial burns
Singed nasal hair

A client admitted to the emergency room with burns covering 45% of the total body surface area
(TBSA) requires aggressive fluid resuscitation. What is the anticipated duration for fluid
resuscitation intervention?
.
12 hours
B.
24 hours

,C.
48 hours
D.
72 hours - B.
24 hours

The clinic nurse instructs a client with partial-thickness burns of the thighs on how to clean and
dress the wounds. At the next visit, the nurse notes the wounds are dirty and not covered by
dressings. What actions does the nurse take?
A.
Inform the client the health care provider will not treat someone who is noncompliant.
B.
Review the dressing change, using the teach-back method.
C.
Ask the client why she is not following the instructions.
D.
Describe the physiology of burn healing and infection processes. - B.
Review the dressing change, using the teach-back method.

The triage nurse assesses a client with burns on the right arm and leg. The client is crying with
pain, the burnt skin is red, and large wet blisters are present. Which depth of injury does the
nurse suspect?
A.
Full thickness burn
B.
Superficial partial thickness burn
C.
Superficial burn
D.
Deep partial thickness burn - B.
Superficial partial thickness burn

What pain medication should the nurse administer to a client with a 35% TBSA burn?
A.
Morphine IVP
B.
Fentanyl patch
C.
Ketorolac IVP
D.
Morphine IM - A. Morphine IVP

While collecting a medical history on a client who experienced a severe burn, which statement
by the client's husband requires intervention?
A.

, "She takes medication for menopause."
B.
"I think it has been at least 15 years since her last tetanus shot".
C.
"She smokes 1.5 packs of cigarettes a day."
D.
"She found out she has COPD about 2 years ago." - B. "I think it has been at least 15 years since
her last tetanus shot".

A client has burns covering the anterior torso, anterior arms (bilateral), and anterior legs
(bilateral). What percentage of the total body surface area (BSA) does the nurse estimate is
affected? (Record your answer rounding to the nearest whole number.)

27 %
45 %
54 %
72 % - 45 %

A client sustains major burns on the anterior thorax, head, and bilateral upper extremities
following a house fire. What is the initial
A.
Restore hemodynamic stability.
B.
Maintain patent airway.
C.
Prevent infection.
D.
Initiate intravascular resuscitation. - B.
Maintain patent airway.

During Fluid Resuscitation, how much fluid should be administered in the first 8 hrs? And then
the next 16 hrs? - Half of the fluid is given in the first 8hrs. The remaining is given in the next 16
hrs.

Care for graft site - elevate and immobilize the graft site
keep free from pressure
avoid weight bearing activities
use cotton tip to removed exudate
monitor for signs of infection
avoid softeners/hard detergents
protect from sun light
use splints as prescribed

How long must compression dressing be worn each day? and for what purpose? - 23 out of 24
hours. Saves mobility and prevents scarring

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