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 A

Explanation

A. Encouraging slow deep breaths involves addressing the client's emotional and psychological well-being, reflecting a holistic approach to pain management.
B. Obtaining blood work is a medical intervention and may not address the holistic aspects of pain management.
C. Requesting a prescription for an analgesic addresses the physical aspect of pain but may not be considered holistic.
D. Checking oxygen saturation is a physiological measure and may not directly address the holistic aspects of pain management.

A. The dosage of the opioid narcotic is unlimited. B. Opioid narcotics are restricted for the client because of the risk for addiction. C. Using opioid narcotics will limit options available for future management of pain. D. The use of opioid narcotics is restricted to when death is imminent.

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.

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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

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Correct Answer is C

Explanation

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