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 ["10"]

Explanation

To answer this question, we need to use the formula:

mL = (dose ordered / dose available) x mL available

Plugging in the values from the question, we get:

mL = (50 mg / 25 mg) x 5 mL

mL = 2 x 5 mL

mL = 10 mL

Therefore, the nurse should administer 10 mL of hydroxyzine oral suspension.

A. Instruct the client on use of call light. B. Apply an ambulation alarm to the client’s leg. C. Apply restraints to the client PRN. D. Raise the four side rails of the client’s bed. E. Check on the client hourly

Correct Answer is ["A","B","D","E"]

Explanation

A. Instructing the client on the use of the call light allows them to easily summon assistance when needed.
B. Applying an ambulation alarm helps monitor the client's movement, especially if there is a risk of falls or wandering.

C. Applying restraints is not the first-line intervention and should only be used when less restrictive measures are ineffective, and the client is at risk of harm to themselves or others.
D. Raising the four side rails of the client’s bed is a safety measure to prevent falls and ensure the client's protection.

E. Checking on the client hourly is an essential intervention to monitor the client’s mental status and ensure safety. Frequent assessments allow for early identification of complications related to opioid use, such as respiratory depression or increased sedation.

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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 preparing to administer hydroxyzine HCL 50 mg PO. Available is hydroxyzine oral suspension 25 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["10"]

Explanation

A nurse is caring for a client who has a prescription for scheduled opioid analgesia and notes a change in the client’s mental status. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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