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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. A protective environment is not necessary; Clostridium difficile requires contact precautions.

B. Alcohol-based hand sanitizers are ineffective against Clostridium difficile spores; handwashing with soap and water is essential.

C. Wearing a mask is not necessary as C. difficile is transmitted through spores that survive on surfaces.

D. Disinfecting equipment daily helps reduce the risk of C. difficile spore transmission within the environment.

A. Comminuted B. Transverse C. Impacted D. Oblique

Correct Answer is A

Explanation

A. A comminuted fracture is characterized by the bone being splintered or crushed into multiple fragments, as seen in this client’s x-ray.

B. A transverse fracture is a straight horizontal break across the bone.

C. An impacted fracture occurs when bone fragments are driven into each other.

D. An oblique fracture has a diagonal break across the bone but does not involve multiple splinters.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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