MDC IV Exam 2 Latest 2022 Update Graded A+ (Rasmussen college)

The nurse is caring for a patient who is admitted to the ED with burns to the lower legs and hands. During the initial management, what is the priority nursing care? A. Assess and treat pain. B. Evaluate airway and circulation. C. Place two IV catheters and initiate fluid resuscitation. D. Use the rule of nines to estimate percent of body surface area burned. It has been 12 hours since a patient has been admitted for burns to the face and neck with associated inhalation injuries. The patient had been wheezing audibly and the wheezing has now stopped. What nursing action is appropriate? A. Check the patient's Spo2 level. B. Notify the physician immediately. C. Re-assess breathing in 1 hour. D. Document improvement in patient's condition. A patient has been receiving dressing changes with silver sulfadiazine (Silvadene) for burn injuries over both lower arms. The nurse notices that the patient's white blood cell count has dropped significantly over the past 4 days. How does the nurse interpret this finding? A. Electrolyte imbalance B. Infection is improving C. Impending kidney disease D. Possible allergic reaction to silver sulfadiazine (Silvadene) Which patient is at greatest risk of developing acute respiratory distress syndrome (ARDS)?A. 24-year-old male admitted with blunt chest trauma and aspiration B. 56-year-old male with a history of alcohol abuse and chronic pancreatitis C. 72-year-old male post heart valve surgery receiving 1 unit of packed red blood cells D. 82-year-old female on antibiotics for pneumonia