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NUR 410 Final Exam Questions With 100% Correct Answers.

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NUR 410 Final Exam Questions With 100% Correct Answers. Which IV solution should the nurse anticipate administering to a client who sustained severe burns? A. D5W (5% dextrose in water) B. Lactated Ringers solution C. D5 1/2 normal saline with 20 mEq of potassium chloride. D. Hespan - answerB. Lactated Ringers solution The nurse on the burn unit provides care for a client with a new autograft on the left elbow. Which actions does the nurse take to improve skin graft outcomes? (select all that apply) A. Conduct range of motion exercises daily. B. Maintain gauze dressing over autograft for 3-5 days. C. Assist with incentive spirometry hourly while awake. D. Increase ambulation to tolerance. E. Immobilize the left arm. - answerB & E The nurse assesses a newly admitted client following a burn injury. Which assessment findings cause the nurse to suspect inhalation injury? (Select all that apply) Facial burns Singed nasal hair Hemoptysis Heart rate 112 beats/min Audible Stridor - answerAudible stridor Facial burns Singed nasal hair A client admitted to the emergency room with burns covering 45% of the total body surface area (TBSA) requires aggressive fluid resuscitation. What is the anticipated duration for fluid resuscitation intervention? . 12 hours B. 24 hours C. 48 hours D. 72 hours - answerB. 24 hours The clinic nurse instructs a client with partial-thickness burns of the thighs on how to clean and dress the wounds. At the next visit, the nurse notes the wounds are dirty and not covered by dressings. What actions does the nurse take? A. Inform the client the health care provider will not treat someone who is noncompliant. B. Review the dressing change, using the teach-back method. C. Ask the client why she is not following the instructions. D. Describe the physiology of burn healing and infection processes. - answerB. Review the dressing change, using the teach-back method. The triage nurse assesses a client with burns on the right arm and leg. The client is crying with pain, the burnt skin is red, and large wet blisters are present. Which depth of injury does the nurse suspect? A. Full thickness burn B. Superficial partial thickness burn C. Superficial burn D. Deep partial thickness burn - answerB. Superficial partial thickness burn What pain medication should the nurse administer to a client with a 35% TBSA burn? A. Morphine IVP B. Fentanyl patch C. Ketorolac IVP D. Morphine IM - answerA. Morphine IVP While collecting a medical history on a client who experienced a severe burn, which statement by the client's husband requires intervention? A. "She takes medication for menopause." B.


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