A nurse in the emergency department is assessing a newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following actions should the nurse take first?

Obtain a blood specimen for ABG analysis.

Apply 100% humidified oxygen.

Obtain a baseline ECG.

Insert an 18-gauge IV catheter.

Answer and Explanation

The Correct Answer is B

A. Obtain a blood specimen for ABG analysis. Important, but not the first action.

B.   In a client with burn injuries experiencing signs of airway compromise (drooling, hoarseness), the first action should be to ensure adequate oxygenation. Applying 100% humidified oxygen can help manage potential airway edema.
C.   Obtain a baseline ECG. Necessary for monitoring but secondary to securing the airway.
D.   Insert an 18-gauge IV catheter. Essential for fluid resuscitation and medication administration, but after ensuring adequate oxygenation.

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Correct Answer is B

Explanation

A. This response deflects the client's feelings and does not acknowledge the client's frustration.
B. This response acknowledges the client's feelings of frustration and validates their experience, showing empathy and understanding.
C. While it is important to encourage the client's progress, this response does not directly address the client's expressed emotions.
D. Suggesting that the client call their partner may not address the underlying feelings of frustration and may overlook the opportunity for therapeutic communication.

Correct Answer is ["2"]

Explanation

To convert the prescribed dose of levothyroxine from micrograms to milligrams, we need to remember that 1 milligram (mg) is equal to 1000 micrograms (mcg). Therefore, 50 micrograms is equal to 0.050 mg. The available medication is 0.025 mg per tablet. To find out how many tablets the nurse should administer, we divide the prescribed dose in milligrams by the strength of the available tablets: 0.050 mg divided by 0.025 mg/tablet equals 2.

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A nurse in the emergency department is assessing a newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is recovering from a cerebrovascular accident in a rehabilitation facility. The client tells the nurse, "I am sick of being in here, and I want to go home." Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is preparing to administer levothyroxine 50 micrograms to a client. Available is levothyroxine 0.025 mg/tablet. How many tablets should the nurse administer per dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

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