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 ["2"]

Explanation

To calculate the number of tablets, the nurse should divide the prescribed dose by the available dose. In this case, 150 mg / 75 mg = 2 tablets. Therefore, the nurse should administer 2 tablets of amitriptyline.

A. Dry crust on the incision line B. Adventitious breath sounds C. Increased urine output D. Decreased level of consciousness E. Oral temperature of 38.3° C (101° F)

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

Explanation

A. Dry crust on the incision line may indicate normal healing, not necessarily infection.
B. Adventitious breath sounds can be indicative of pneumonia, a potential infection.
C. Increased urine output is not a sign of infection but may suggest other issues.
D. Decreased level of consciousness suggests a systemic issue, which could include infection affecting the central nervous system.
E. Oral temperature of 38.3° C (101° F) indicates fever which is a common sign of infection.

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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 amitriptyline 150 mg PO. The amount available is amitriptyline 75 mg/tablet. How many tablets 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 ["2"]

Explanation

Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

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

Explanation

A nurse is assisting in the care of a client. Exhibits The nurse is assisting with catheter care for the client to prevent a central line-associated bloodstream infection (CLABSI bundle). Which of the following actions should the nurse take? Select all that apply.

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A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets 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.)

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A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?