While caring for a client with a full-thickness burn covering 40% of the body surface area (BSA), the nurse observes purulent drainage at the wound.
Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?
Serum blood glucose (BG) level.
Neutrophil count.
Serum albumin.
Hematocrit.
The Correct Answer is B
Choice A rationale:
Serum blood glucose (BG) level is not directly related to the presence of purulent drainage at a burn wound site. Elevated BG levels might be seen in clients with diabetes or as a stress response, but they are not the primary indicator of infection or wound complications.
Choice C rationale:
Serum albumin levels can be relevant in assessing nutritional status and the body's ability to heal wounds. However, they do not directly indicate the presence of infection or purulent drainage. Low serum albumin levels may be seen in clients with malnutrition but do not provide immediate information about the wound.
Choice D rationale:
Hematocrit measures the percentage of red blood cells in the blood and is not directly related to the presence of purulent drainage at a burn wound site. Elevated hematocrit may indicate dehydration or hemoconcentration but does not specifically address the issue of wound infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
The statement, "This medication will shorten the duration of my symptoms," is correct. Oseltamivir is an antiviral medication used to treat influenza, and it can reduce the duration of symptoms when taken early in the course of the illness.
Choice B rationale:
The statement, "This medication will prevent me from spreading the virus to others," is incorrect. While oseltamivir can help reduce the severity and duration of symptoms, it does not prevent the spread of the virus to others. Clients with influenza should still take precautions to avoid transmitting the virus to others.
Choice C rationale:
The statement, "This medication will work best if I start taking it within 48 hours of symptom onset," is correct. Oseltamivir is most effective when started within 48 hours of the onset of symptoms.
Choice D rationale:
The statement, "This medication may cause nausea and vomiting as side effects," is correct. Nausea and vomiting are potential side effects of oseltamivir, and clients should be informed about these possible adverse reactions.
Correct Answer is D
Explanation
The correct answer is choiced. Ask the parents to explain what they understand about the child’s diagnosis.
Choice A rationale:
While it is important to support the parents’ decisions, this choice does not address the need for the parents to have accurate information about the condition and its potential complications.
Choice B rationale:
This statement is incorrect.Delaying surgery for hypospadias can lead to complications such as urinary problems, infections, and issues with sexual function later in life.
Choice C rationale:
This is misleading.Hypospadias does not typically resolve on its own, and waiting can result in complications that may require more complex surgical interventions.
Choice D rationale:
This choice is correct because it encourages the parents to share their understanding of the diagnosis, allowing the nurse to provide accurate information and address any misconceptions.This approach ensures that the parents make an informed decision based on a clear understanding of the condition and its implications.
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