One year after being discharged from the burn trauma unit, a client with a history of 40% full-thickness burns is admitted with bone pain and muscle weakness. Which intervention should the nurse include in this client's plan of care?
Explain the need for skin exposure to sunlight without sunscreen.
Teach the need for dietary and supplemental vitamin D.
Instruct the client in the use of muscle strengthening exercises.
Encourage progressive active range of motion.
The Correct Answer is B
Choice A reason: Explaining the need for skin exposure to sunlight without sunscreen is not advisable because it can increase the risk of further skin damage or skin cancer, especially in a client with a history of severe burns. Sunscreen should be used to protect the skin from harmful UV rays.
Choice B reason: Teaching the need for dietary and supplemental vitamin D is important because clients with extensive burns often have impaired vitamin D synthesis due to reduced exposure to sunlight and possible nutritional deficiencies. Vitamin D is essential for bone health and muscle function.
Choice C reason: Instructing the client in the use of muscle strengthening exercises is beneficial for overall health, but it does not directly address the specific issue of bone pain and muscle weakness related to potential vitamin D deficiency.
Choice D reason: Encouraging progressive active range of motion is important for maintaining joint flexibility and function, but it does not directly address the underlying cause of bone pain and muscle weakness in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["12.5"]
Explanation
Calculation Steps:
Step 1: Convert grams to milligrams: 1.5 grams × 1000 mg/gram = 1500 mg. Result = 1500 mg.
Step 2: Calculate the dose per administration: 1500 mg/day ÷ 3 doses/day = 500 mg/dose. Result = 500 mg/dose.
Step 3: Determine the volume for each dose: 200 mg/5 mL = 40 mg/mL, 500 mg ÷ 40 mg/mL = 12.5 mL.
Result = 12.5 mL.
Correct Answer is B
Explanation
Choice A reason: Avoiding strenuous activity for 2 weeks is not typically required after a cystoscopy.
Choice B reason: Reporting painful urination, blood in urine, or fever is important as these may indicate complications such as infection.
Choice C reason: Shellfish or iodine allergies are not relevant for a cystoscopy, as contrast dyes are not typically used in this procedure.
Choice D reason: Laying prone for 24 hours is not necessary after a cystoscopy.
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