A nurse is caring for a client who has severe burns.

Exhibits
Which of the following actions should the nurse take when caring for a client with severe burns?
Select all that apply.

Cool the burn with ice water.

Administer opioid analgesics.

Administer systemic antibiotics.

Administer benzodiazepines for anxiety management.

Lay the head of the bed flat.

Answer and Explanation

Correct Answer : B,D

A. Cool the burn with ice water: Cooling with ice water is contraindicated as it can cause vasoconstriction and worsen tissue damage. Cool saline or tepid water is preferred for immediate care.

B. Administer opioid analgesics: Severe burns are excruciatingly painful, and opioid analgesics are appropriate for managing the pain.

C. Administer systemic antibiotics: Systemic antibiotics are not routinely administered unless there are signs of infection or sepsis.

D. Administer benzodiazepines for anxiety management: Anxiety can exacerbate the client’s distress, and benzodiazepines are effective in reducing anxiety.

E. Lay the head of the bed flat: This is inappropriate; the client’s airway must remain patent, and raising the head of the bed can help reduce respiratory distress.

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Correct Answer is B

Explanation

A. Not palpable: The pulse is palpable, though irregular.

B. Irregular: Atrial fibrillation causes an irregularly irregular pulse due to chaotic electrical impulses in the atria.

C. Bounding: Atrial fibrillation does not typically cause bounding pulses; this is associated with increased stroke volume or hyperdynamic circulation.

D. Slow: Atrial fibrillation often causes tachycardia, not bradycardia.

A. Cocaine B. Alcohol C. Inhalants D. Caffeine

Correct Answer is B

Explanation

A. Cocaine: While cocaine can cause cardiovascular and neurological complications, it is not a primary cause of liver cirrhosis.

B. Alcohol: Chronic alcohol use is the most common cause of liver cirrhosis, as excessive alcohol intake damages liver cells, leading to fibrosis and cirrhosis over time.

C. Inhalants: Inhalants can damage the liver but are not a leading cause of cirrhosis.

D. Caffeine: Caffeine has no established link to liver cirrhosis.

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A nurse is caring for a client who has severe burns. Exhibits Which of the following actions should the nurse take when caring for a client with severe burns? Select all that apply.

Nursing Test Bank

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A nurse is caring for a client who has severe burns.

Exhibits
Which of the following actions should the nurse take when caring for a client with severe burns?
Select all that apply.