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A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate? - "large incisions will be made in the eschar to improve circulation" A nurse is monitoring the fluid replacement of a client who has sustained burns Which of the following fluids is used in the first 24 hours follo...

1. A nurse in a burn treatment centre is caring for a client who is admitted with severe burns to both lower extremities and is pending an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate? a. "large incisions will be made in the eschar to improve circulation" b. " I can call the doctor back here if you want me to" c. "a piece of skin will be removed and grafted over the burned area" d....

A nurse is planning care for a requires phototherapy for hyperbilirubinemia. Which of the following actions should the nurse include inthe plan of care - Ensure the newborns eyes are closed before applying the eye shield A nurse is caring for a client at 34 weeks gestation and has a prescription for terbutaline for preterm labor. Which of the following statements by the patient is the priority? - "My heart feels as if it is racing." A nurse is planning care for a client who is pregna...

A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3,000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess? A) Amylase B) Creatinine C) Aspartate aminotransferase (AST) D) Antidiuretic hormone (ADH) - C) Aspartate aminotransferase (AST) A nurse at a college campus mental health counseling center is caring for a student who just failed an examination. The stu...

A nurse on a medical-surgical unit is caring for a client who is postoperative following an emergency appendectomy. Vital Signs • Temperature 37.7° C (99.8° F) • Heart rate 82/min • Respiratory rate 16/min • Blood pressure 127/80 mm Hg • Oxygen saturation 99% on room air Assessment Height 157.5 cm (62 in) Weight 90 kg (198 lb) Bilateral lower extremities warm to touch, pedal pulses 2+ bilaterally. Spider veins noted on bilateral lower extremities. Distended veins noted on righ...

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