A nurse is caring for a client who has full-thickness burns over 75% of his body. The nurse should use which of the following methods to monitor the cardiovascular system?
Auscultate cuff blood pressure.
Monitor the pulmonary artery pressure.
Palpate pulse pressure.
Obtain a central venous pressure.
The Correct Answer is B
A. Auscultating blood pressure may not be as reliable in burn patients due to fluid shifts and potential damage to peripheral tissues.
B. Monitoring pulmonary artery pressure provides crucial information about the cardiovascular system's status, including fluid balance and cardiac function, which are essential in the care of clients with severe burns.
C. Palpating pulse pressure alone is insufficient for thorough cardiovascular monitoring in critically ill burn patients.
D. Central venous pressure provides information about fluid status but does not offer the comprehensive cardiovascular data needed for extensive burn management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A high-purine diet can worsen gout symptoms, so the client should avoid high-purine foods.
B. Limiting alcohol intake can help reduce gout attacks, as alcohol can increase uric acid levels.
C. Limiting fluid intake is not recommended; instead, increased hydration is beneficial for flushing uric acid from the system.
D. Aspirin is generally avoided in gout, as it can increase uric acid levels and worsen symptoms.
Correct Answer is ["1733"]
Explanation
To calculate the infusion rate for the first 8 hours, you would take the total volume prescribed for the first 24 hours and divide it by 3, since 8 hours is one-third of 24 hours. So, 5,200 mL divided by 3 equals approximately 1,733.33 mL. Rounding this to the nearest whole number, the nurse should set the pump to infuse at a rate of 1,733 mL per hour for the first 8 hours.
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