A patient with chemical burns to the chest and abdomen is admitted to the emergency department.

The registered nurse begins to flush the area with sterile saline.

What is the first action the LPN should take to stop the burning process?

Prepare IV morphine for administration by the RN.

Apply ice to the burned area.

Apply a neutralizing agent.

Remove the patient’s clothing.

Answer and Explanation

The Correct Answer is D

Choice A rationale
While pain management is important in burn care, the first action should be to stop the burning process. Administering IV morphine does not achieve this.
Choice B rationale
Applying ice to a burn can cause vasoconstriction and may increase tissue damage. It is not the first action to stop the burning process.
Choice C rationale
Applying a neutralizing agent is not the first action in chemical burn management. The priority is to remove the chemical from contact with the skin.
Choice D rationale
Removing the patient’s clothing is the first action in burn management. This prevents further contact of the chemical with the skin and stops the burning process.

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Correct Answer is C

Explanation

Choice A rationale
Areas around pins being dry is a normal finding and does not need to be reported.
Choice B rationale
Crusts around pins are also a normal finding as they are usually dried exudate and do not indicate an infection.
Choice C rationale
Purulent drainage around pins is a sign of infection. This should be reported to the unit care coordinator immediately as it may require antibiotic treatment.
Choice D rationale
Absence of pain at the site is a normal finding and does not need to be reported.

A. Severe upper abdominal pain B. Report of epigastric fullness C. Hyperactive bowel sounds D. Bradycardia

Correct Answer is A

Explanation

Choice A rationale

Severe upper abdominal pain can be a sign of gastrointestinal perforation in a patient with peptic ulcer disease. When an ulcer erodes through the wall of the stomach or duodenum, it can cause a perforation, or hole. This is a serious complication that can cause severe pain.

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A patient with chemical burns to the chest and abdomen is admitted to the emergency department. The registered nurse begins to flush the area with sterile saline. What is the first action the LPN should take to stop the burning process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing pin care for a patient with an external fixation device for a fractured tibia. Which assessment finding by the nurse should be reported to the unit care coordinator?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has peptic ulcer disease. Which of the following findings is a manifestation of gastrointestinal perforation?

Correct Answer is A

Explanation

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A patient with chemical burns to the chest and abdomen is admitted to the emergency department.

The registered nurse begins to flush the area with sterile saline.

What is the first action the LPN should take to stop the burning process?