A nurse is assessing a client who has an electrical burn. Which of the following cues should the nurse recognize as indicating a potential complication of the burn injury?
Cool and clammy skin
Purulent drainage from the burn site
Muscle weakness
Irregular heart rhythm
The Correct Answer is D
A. Cool and clammy skin:
May indicate shock but is not specific to electrical burns.
B. Purulent drainage from the burn site:
Suggests infection, a later complication rather than immediate concern.
C. Muscle weakness:
Can occur but is less urgent than cardiac effects.
D. Irregular heart rhythm:
Electrical burns can cause internal cardiac damage and arrhythmias-potentially life-threatening.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Draw blood for a CBC: Important, but not the priority.
B. Inspect the mouth for signs of inhalation injuries: Airway assessment is always the priority in facial/chest burns due to the risk of inhalation injury and impending airway compromise.
C. Administer intravenous pain medication: Important, but airway always comes first.
D. Insert an indwelling urinary catheter: Urine output monitoring is important for fluid resuscitation but follows airway stabilization.
Correct Answer is C
Explanation
A. Hypomagnesemia: Magnesium levels are typically elevated in AKI due to reduced excretion.
B. Decreased creatinine level: Creatinine rises during the oliguric phase due to decreased filtration.
C. Hyperkalemia: Potassium accumulates in the blood during oliguria due to impaired excretion.
D. Increased glomerular filtration rate (GFR): GFR is decreased in AKI.
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