A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?
Difficulty swallowing
Urinary output 25 mL/hr
Heart rate 122/min
Pain of 6 on a scale of 0 to 10
The Correct Answer is A
Difficulty swallowing is the priority finding to report to the provider. Rationale: This is because difficulty swallowing can indicate airway edema, which can compromise breathing and oxygenation. The nurse should monitor the client's respiratory status and administer oxygen as prescribed. The other findings are also important, but not as urgent as airway obstruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
This is because these medications are antimycobacterial agents that inhibit the growth and replication of Mycobacterium tuberculosis, the bacterium that causes tuberculosis. Acyclovir is an antiviral medication that is used to treat herpes simplex virus infections, and montelukast is a leukotriene receptor antagonist that is used to prevent asthma attacks.
Correct Answer is B
Explanation
Basal cell carcinoma is the most common type of skin cancer and usually occurs on sun-exposed areas of the skin. It is slow-growing and rarely metastasizes. It appears as a small, translucent papule with rolled borders that may ulcerate and bleed.
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