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A nurse is caring for a child who received partial -thickness burn s to over 50% of his body 10 days ago and has splints over his joints to prevent contractures.
Which of the following action should the nurse take? (select all that apply.).

provide a high-calories diet

Administer analgesics IM.

monitor intake and output

remove splints during sleep.

change dressing using aseptic technique.

Answer and Explanation

Correct Answer : A,C,E

Choice A rationale

Providing a high-calorie diet is a recommended action for a child who has received partial-thickness burns to

over 50% of his body. After a burn injury, the body needs extra calories and protein to heal, fight infection, and maintain its functions. A high-calorie diet can help meet these increased nutritional needs.

Choice B rationale

Administering analgesics intramuscularly (IM) is not a recommended action for a child with partial- thickness burns. Pain management is crucial in burn care, but analgesics should be given orally or intravenously, not IM, to avoid additional pain and tissue damage.

Choice C rationale

Monitoring intake and output is a recommended action for a child who has received partial-thickness burns to over 50% of his body. This can help assess the child’s hydration status, kidney function, and response to fluid replacement therapy.

Choice D rationale

Removing splints during sleep is not a recommended action for a child with partial-thickness burns. Splints are used to prevent contractures by keeping the joints in a functional position. They should be worn as prescribed by the healthcare provider, which often includes during sleep.

Choice E rationale

Changing dressings using aseptic technique is a recommended action for a child who has received partial- thickness burns to over 50% of his body. This can help prevent infection, promote healing, and assess the burn’s progress.

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Correct Answer is C

Explanation

Choice A rationale

Washing the site with alcohol prior to applying the cream is not recommended. Alcohol can cause skin irritation and dryness, which may increase the discomfort during the procedure.

Choice B rationale

Rubbing the cream into the skin is not advised. The cream should be applied in a thick layer and not spread on the skin. Rubbing the cream can cause it to absorb into the skin too quickly and reduce its numbing effect.

Choice C rationale

Applying the cream 1 hour before the procedure is the correct action. Lidocaine and prilocaine cream should be applied at least 1 hour before the procedure to ensure adequate numbing of the skin.

Choice D rationale

The cream should not be left on the skin during the procedure. The healthcare provider will remove the cream just before the procedure. Leaving the cream on the skin could interfere with the procedure.

A. Lateral B. Prone C. Semi-fowler D. Supine

Correct Answer is A

Explanation

For a lumbar puncture, the child should be placed in the lateral position. This position allows for better access to the spinal canal, which is necessary for a lumbar puncture.

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A nurse is caring for a child who received partial -thickness burn s to over 50% of his body 10 days ago and has splints over his joints to prevent contractures. Which of the following action should the nurse take? (select all that apply.).

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A nurse is caring for a child who received partial -thickness burn s to over 50% of his body 10 days ago and has splints over his joints to prevent contractures.
Which of the following action should the nurse take? (select all that apply.).