A nurse is planning care for a client who has full-thickness burns on the lower extremities.
Which of the following interventions should the nurse include?
Clean the equipment in the client's room once per week.
Provide a diet of fresh fruits and vegetables for the client.
Limit visitation time for the client's children to 40 min per day.
Apply new gloves when alternating between wound care sites.
The Correct Answer is D
The nurse should apply new gloves when alternating between wound care sites.
This is to prevent cross-contamination and infection.
Choice A, cleaning the equipment in the client’s room once per week, is not an answer because it is not mentioned in the search results as an intervention for a client with full-thickness burns on the lower extremities.
Choice B, providing a diet of fresh fruits and vegetables for the client, is not an answer because it is not mentioned in the search results as an intervention for a client with full-thickness burns on the lower extremities.
Choice C, limiting visitation time for the client’s children to 40 min per day, is not an answer because it is not mentioned in the search results as an intervention for a client with full-thickness burns on the lower extremities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Place two-bed pillows between the legs when in bed.
To prevent hip dislocation after total hip arthroplasty, the nurse should place two-bed pillows between the client’s legs when in bed.
This helps maintain proper alignment and prevent the hip from dislocating.
Choice B is incorrect because leaning forward when attempting to stand can increase the risk of hip dislocation.
Choice C is incorrect because removing the wedge device when turning can increase the risk of hip dislocation.
Choice D is incorrect because elevating the knees higher than the hips when sitting can increase the risk of hip dislocation.
Correct Answer is C
Explanation
Metformin should be withheld for a minimum of 48 hours after the procedure.
This is because metformin can increase the risk of contrast-induced acute kidney injury (CI-AKI) when undergoing contrast imaging.
Choice A, Clopidogrel, is not an answer because it is not mentioned in the search results as a medication that needs to be withheld after a CT scan with contrast media.
Choice B, Furosemide, is not an answer because it is not mentioned in the search results as a medication that needs to be withheld after a CT scan with contrast media.
Choice D, Carvedilol, is not an answer because it is not mentioned in the search results as a medication that needs to be withheld after a CT scan with contrast media.
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