ATIADVANCEDMEDSURGPROCTORED2023WITHGLASGOWCOMASCALEREALEXAM•Anurse in a burn treatment center is caring for a client who is admitted withsevereburnstobothlowerextremitiesandispendinganescharotomy.Theclient’sspouseasksthenursewhattheprocedureentails.Whichofthefollowingnursingstatementsisappropriate?•“largeincisionswillbemadeintheeschartoimprovecirculation”•“Icancallthedoctorbackhereifyouwantmeto”•“apieceofskinwillberemovedandgraftedovertheburnedarea”•“deadtissuewillbesurgicallyremoved”•Anurseismonitoringthefluidreplacementofaclientwhohassustainedburns.Whichofthefollowingfluidsisusedinthefirst24hoursfollowingaburninjury?•5%dextroseinwater•5%dextroseinnormalsaline•normalsaline•lactatedringers•Anurse is caring for a client who has full-thickness burns all over 75% of hisbody.Whichofthefollowingmethodsisappropriatetoaccuratelymonitorthecardiovascularsystem?•auscultatecuffbloodpressure•palpatepulsepressure•obtainacentralvenouspressure•monitorthepulmonaryarterypressure•A nurse is assessing the depth and extent of a client who has severe burns to theface,neck,andupperextremities.Whichofthefollowingfactorsisthefirstprioritywhenassessingthe severityofthe burn?•Ageoftheclient•Associatedmedicalhistory•Locationoftheburn•Causeoftheburn•Aclient arrives at the emergency dept following an explosion at the chemicalplant.Hehasdeeppartialandfull-thicknesschemicalburnsovermorethan25%ofhisbodysurfacearea.Whatisthenurse’spriorityintervention?•Initiatefluidresuscitation•MedicationforpainPreview Mode
This document has 21 pages. Sign in to access the full document!