A nurse is monitoring the fluid replacement of a client who has sustained burns. Which of the following fluids should the nurse use in the first 24 hr following a client’s burn injury?

Lactated Ringer’s

Dextrose 5% in water

0.9% sodium chloride

Dextrose 5% in 0.9% sodium chloride

Answer and Explanation

The Correct Answer is A

A.   Lactated Ringer’s is the preferred fluid for fluid resuscitation in the first 24 hours after a burn injury as it helps replace lost fluids and electrolytes.
B.   Dextrose 5% in water is not the primary fluid for burn resuscitation.
C.   0.9% sodium chloride may be used, but Lactated Ringer’s is often preferred.
D.   Dextrose 5% in 0.9% sodium chloride is not the primary fluid for burn resuscitation.

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Correct Answer is C

Explanation

A. The dosage of opioid narcotics is not unlimited and should be carefully titrated to the client's pain level.
B. Opioid narcotics are not restricted solely due to the risk of addiction, especially in end-of-life care where effective pain management is a priority.
C. This statement emphasizes the importance of maintaining a stepwise approach to pain management, preserving options for effective pain control.
D. The use of opioid narcotics is not restricted solely to when death is imminent; it depends on the client's pain and symptom management needs.

A. Dry the prosthesis socket completely before applying it to the limb. B. Apply a moisturizing lotion or oil to the stump daily. C. Keep the prosthesis in direct contact with the residual limb. D. Expect some skin irritation from the prosthesis.

Correct Answer is A

Explanation

A. Ensuring the prosthesis socket is dry helps prevent skin irritation, discomfort, and the potential for infection.
B. Applying moisturizing lotion or oil can make the skin too slippery, affecting the fit and function of the prosthesis.
C. The prosthesis should not be in direct contact with the residual limb; a liner or sock is typically worn.
D. Skin irritation should be minimized, and any persistent issues should be addressed with the prosthetist. Expecting irritation as a norm is not appropriate.

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A nurse is monitoring the fluid replacement of a client who has sustained burns. Which of the following fluids should the nurse use in the first 24 hr following a client’s burn injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at the end of life. The client’s partner is concerned about using opioid narcotics to manage the client’s pain Which of the following statements should the nurse make?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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