A nurse is caring for a client admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

"A piece of healthy skin will be removed from an unburned area and grafted over the burned area."

"This procedure involves placing the client into a Whirlpool tub and removing the dead tissue."

"Dead tissue will be non-surgically removed."

"Incisions will be made in the burnt tissues to improve circulation."

Answer and Explanation

The Correct Answer is D

A. "A piece of healthy skin will be removed from an unburned area and grafted over the burned area.": This describes a skin graft, not escharotomy.

B. "This procedure involves placing the client into a Whirlpool tub and removing the dead tissue.": This describes hydrotherapy or wound debridement.

C. "Dead tissue will be non-surgically removed.": Describes enzymatic or mechanical debridement.

D. "Incisions will be made in the burnt tissues to improve circulation.": Escharotomy relieves pressure caused by tight, burned skin (eschar) to restore blood flow and prevent compartment syndrome.

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Correct Answer is ["A","B","E"]

Explanation

A. Raisins: Dried fruits like raisins are concentrated sources of potassium and should be avoided in CKD.

B. Bananas: Bananas are high in potassium and commonly restricted in CKD to prevent hyperkalemia.

C. Green beans: Green beans are relatively low in potassium and generally safe for a renal diet.

D. Asparagus: Asparagus has moderate potassium levels but can be included in moderation depending on the client's labs.

E. Tomatoes: Tomatoes, especially in processed forms like sauce or juice, are high in potassium.

A. Bradycardia B. Nausea and vomiting C. Increased urinary output D. Hyperactive bowel sounds

Correct Answer is B

Explanation

A. Bradycardia: Peritonitis is usually associated with tachycardia, not bradycardia.

B. Nausea and vomiting: These are common early signs of peritonitis, often accompanied by abdominal pain and fever.

C. Increased urinary output: Clients with peritoneal dialysis often have reduced kidney function, so urine output is generally decreased, not increased.

D. Hyperactive bowel sounds: Bowel sounds are usually diminished or hypoactive in peritonitis due to inflammation.

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A nurse is caring for a client admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client diagnosed with chronic kidney disease (CKD) about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?

Correct Answer is B

Explanation

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