A nurse in the emergency department is caring for a client who has a 30% burn injury to her lower extremities.

Which of the following interventions should the nurse perform first?

Administer pain medication.

Administer a tetanus booster.

Clean and dress the wound.

Administer IV fluids.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Administering pain medication is important, but it’s not the first priority. The first priority is to stabilize the client’s condition.
Choice B rationale:
Administering a tetanus booster is necessary for burn patients, but it’s not the first intervention. The first intervention should be to stabilize the client’s condition.
Choice C rationale:
Cleaning and dressing the wound is important, but it’s not the first intervention. The first intervention should be to stabilize the client’s condition.
Choice D rationale:
Administering IV fluids is the first intervention for a burn patient. This is because burns can cause significant fluid loss, leading to dehydration and shock.

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Correct Answer is C

Explanation

Choice A rationale:
Having a loss of peripheral vision is not a typical symptom of cataracts. This symptom is more associated with conditions like glaucoma.
Choice B rationale:
Loss of central vision is not a typical symptom of cataracts. This symptom is more associated with conditions like macular degeneration.
Choice C rationale:
Having a decreased ability to perceive colors is a common symptom of cataracts. Cataracts can cause vision to become cloudy or yellowed, affecting color perception.
Choice D rationale:
Seeing bright flashes of light and floaters are not typical symptoms of cataracts. These symptoms are more commonly associated with conditions like retinal detachment.

A. Polydipsia. B. Polyuria. C. Blurred vision. D. Moist, clammy skin. E. Tachycardia.

Correct Answer is ["D","E"]

Explanation

Choice A rationale:
Polydipsia, or excessive thirst, is a symptom of hyperglycemia, not hypoglycemia.
Choice B rationale:
Polyuria, or frequent urination, is also a symptom of hyperglycemia, not hypoglycemia.
Choice C rationale:
Blurred vision can be a symptom of both hyperglycemia and hypoglycemia, but it’s more commonly associated with hyperglycemia.
Choice D rationale:
Moist, clammy skin is a symptom of hypoglycemia.
Choice E rationale:
Tachycardia, or a fast heartbeat, is a symptom of hypoglycemia.

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A nurse in the emergency department is caring for a client who has a 30% burn injury to her lower extremities. Which of the following interventions should the nurse perform first?

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A nurse in the emergency department is caring for a client who has a 30% burn injury to her lower extremities.

Which of the following interventions should the nurse perform first?