The nurse is caring for a 26-year-old patient who was burned 72 hours ago. The patient has partial-thickness burns to 24% of the body surface area and begins to excrete large amounts of urine. Which action should the nurse take?

Monitor for signs of seizure activity.

Increase the IV rate and monitor for burn shock.

Raise the foot of the bed and apply blankets.

Assess for signs of fluid overload.

Answer and Explanation

The Correct Answer is D

A. Monitor for signs of seizure activity: Seizure activity is not directly related to the condition described.
B. Increase the IV rate and monitor for burn shock: Increasing the IV rate could exacerbate fluid overload; burn shock is more of a concern in the initial hours post-burn.
C. Raise the foot of the bed and apply blankets. This is not relevant to addressing the issue of large urine output.
D. Assess for signs of fluid overload: After the initial fluid resuscitation phase, large urine output may indicate that fluid is being mobilized from the tissues back into the vascular system, potentially leading to fluid overload.

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Correct Answer is C

Explanation

A. 12 or younger: While early onset is a risk factor, it is not as predictive as ages slightly older, where patterns of behaviour are more established.
B. 10 or younger: Very early onset is a risk factor but is less common and less studied.
C. 14 or younger: Research shows that starting alcohol consumption at 14 or younger significantly increases the risk of developing alcohol addiction.
D. 8 or younger: While extremely early onset is concerning, it is less predictive than slightly older ages due to the rarity and less data available.

A. Trim the fingernails short to prevent skin damage from scratching. B. Use cool, wet dressings and baths to promote vasoconstriction. C. Expose the areas to the sun to promote drying and healing of the lesions. D. Wear cotton gloves and cover all other affected areas with clothing to prevent environmental irritation.

Correct Answer is B

Explanation

A. Trim the fingernails short to prevent skin damage from scratching. While this is good advice to prevent further skin damage, it does not directly address the itching.
B. Use cool, wet dressings and baths to promote vasoconstriction. Cool, wet dressings and baths can help soothe itching and reduce inflammation by promoting vasoconstriction.
C. Expose the areas to the sun to promote drying and healing of the lesions. Sun exposure can worsen irritation and is not recommended for treating contact dermatitis.
D. Wear cotton gloves and cover all other affected areas with clothing to prevent environmental irritation. While this can prevent further irritation, it does not directly manage the itching.

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The nurse is caring for a 26-year-old patient who was burned 72 hours ago. The patient has partial-thickness burns to 24% of the body surface area and begins to excrete large amounts of urine. Which action should the nurse take?

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What age of onset of alcohol consumption is most predictive of alcohol addiction?

Correct Answer is C

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A patient developed a severe contact dermatitis of the hands, arms, and lower legs after spending an afternoon picking strawberries. The patient states that the itching is severe and cannot keep from scratching. Which instruction will be helpful in managing the pruritus?

Correct Answer is B

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