A nurse is caring for a client with an electrical burn.

The client states that since the wound on the skin is small, the burn must not be too bad.

Which of the following is the best response by the nurse?

Electrical burns usually cause much more skin damage than what can be seen on your skin.

Electrical burns can have small amounts of skin damage, but more extensive damage beneath the skin.

Electrical burns commonly cause reddened/purplish skin without blistering.

Electrical burns typically are minor.

Answer and Explanation

The Correct Answer is B

Choice A rationale
While it’s true that electrical burns can cause more skin damage than what can be seen on the skin, this statement does not fully address the client’s misconception about the severity of their burn.
Choice B rationale
This is the best response because it directly addresses the client’s misconception and provides accurate information. Electrical burns can indeed have small amounts of skin damage but cause more extensive damage beneath the skin. This is because the electrical current can pass through the body and damage internal tissues and organs, even if the visible wound on the skin is small.
Choice C rationale
While electrical burns can cause reddened or purplish skin, they do not typically cause blistering. Furthermore, this statement does not address the client’s misconception about the severity of their burn.
Choice D rationale
This statement is incorrect. Electrical burns are not typically minor. They can cause serious internal injuries and complications, even if the visible wound on the skin is small.

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Correct Answer is A

Explanation

Choice A rationale
Epinephrine is the first-line treatment for anaphylactic shock. It works by constricting blood vessels to increase blood pressure, relaxing smooth muscles in the lungs to reduce wheezing and improve breathing, stimulating the heart, and reducing hives and swelling around the face and lips.
Choice B rationale
Dexamethasone is a corticosteroid that can be used to treat anaphylactic shock, but it is not the first-line treatment. It works by reducing inflammation.
Choice C rationale
0.9% Normal Saline is a type of intravenous fluid that can be used to treat anaphylactic shock, but it is not the first-line treatment. It works by increasing fluid volume in the body to help maintain blood pressure.
Choice D rationale
Dobutamine is a medication that can be used to treat anaphylactic shock, but it is not the first-line treatment. It works by stimulating the heart muscle to increase cardiac output, which can help maintain blood pressure.

A. Decreased serum IgA. B. Decreased serum bilirubin. C. Elevated serum albumin. D. Elevated serum amylase.

Correct Answer is D

Explanation

Choice A rationale
Serum IgA levels are not typically associated with acute pancreatitis. IgA is an antibody that plays a crucial role in the immune function of mucous membranes. Changes in serum IgA levels can occur in various conditions, but they are not a characteristic finding in acute pancreatitis.
Choice B rationale
Decreased serum bilirubin is not commonly associated with acute pancreatitis. While jaundice (indicated by increased bilirubin levels) can occur in some cases of acute pancreatitis due to blockage of the bile duct, decreased bilirubin levels are not a typical finding.
Choice C rationale
Elevated serum albumin is not typically associated with acute pancreatitis. In fact, levels of albumin, a protein made by the liver, can sometimes decrease in acute pancreatitis due to inflammation and leakage of protein into the abdomen.
Choice D rationale
Elevated serum amylase is commonly associated with acute pancreatitis. Amylase is an enzyme that helps digest carbohydrates. It’s produced in the pancreas and the glands that make saliva. When the pancreas is inflamed, levels of amylase in the blood often rise.

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A nurse is caring for a client with an electrical burn. The client states that since the wound on the skin is small, the burn must not be too bad. Which of the following is the best response by the nurse?

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing orders for a patient in anaphylactic shock. Which medications should the nurse plan to administer first?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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A nurse is caring for a client with an electrical burn.

The client states that since the wound on the skin is small, the burn must not be too bad.

Which of the following is the best response by the nurse?