med surg exam 3 test bank Ignatavicius questions with correct answers

The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client? A. Administer the prescribed tetanus toxoid vaccine. B. Assess the clients wounds for signs of infection. C. Encourage the client to breathe deeply every hour. D. Wash your hands on entering the clients room. Answer D The nurse is caring for a client with an acute burn injury. Which action should the nurse take to prevent infection by auto contamination? A. Use a disposable blood pressure cuff to avoid sharing with other clients. B. Change gloves between wound care on different parts of the clients body. C. Use the closed method of burn wound management for all wound care. D. Advocate for proper and consistent handwashing by all members of the staff. Answer B The nurse teaches burn prevention to a community group. Which statement by a member of the group should cause the nurse the greatest concern? A. I get my chimney swept every other year. B. My hot water heater is set at 120 degrees. C. Sometimes I wake up at night and smoke. D. I use a space heater when it gets below zero. Answer C