Med Surg Exam 3 Test Bank Ignatavicius With Correct Answers.

MED SURG EXAM 3 TEST BANK
IGNATAVICIUS WITH CORRECT
ANSWERS




The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which
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instruction should the nurse provide to the LPN when assigning this client?
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A. Administer the prescribed tetanus toxoid vaccine.
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B. Assess the clients wounds for signs of infection.
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C. Encourage the client to breathe deeply every hour.
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D. Wash your hands on entering the clients room. - correct answer D
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The nurse is caring for a client with an acute burn injury. Which action should the nurse take to prevent
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infection by auto contamination? w w w




A. Use a disposable blood pressure cuff to avoid sharing with other clients.
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B. Change gloves between wound care on different parts of the clients
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body.

C. Use the closed method of burn wound management for all wound care.
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D. Advocate for proper and consistent handwashing by all members of the
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staff. - correct answer B
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The nurse teaches burn prevention to a community group. Which statement by a member of the group
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should cause the nurse the greatest concern?
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A. I get my chimney swept every other year.
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B. My hot water heater is set at 120 degrees.
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,C. Sometimes I wake up at night and smoke.
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D. I use a space heater when it gets below zero. - correct answer C
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A nurse cares for a client who has facial burns. The client asks, Will I ever look
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the same? How should the nurse respond?
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A. With reconstructive surgery, you can look the same.
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B. We can remove the scars with the use of a pressure dressing.
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C. You will not look exactly the same but cosmetic surgery will help.
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D. You shouldnt start worrying about your appearance right now. - correct answer C
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A nurse assesses a client who has a burn injury. Which statement indicates the
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client has a positive perspective of his or her appearance?
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A. I will allow my spouse to change my dressings.
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B. I want to have surgical reconstruction.
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C. I will bathe and dress before breakfast.
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D. I have secured the pressure dressings as ordered. - correct answer C
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The nurse assesses a client who has a severe burn injury. Which statement
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indicates the client understands the psychosocial impact of a severe burn injury?
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A. It is normal to feel some depression.
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B. I will go back to work immediately.
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C. I will not feel anger about my situation.
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D. Once I get home, things will be normal. - correct answer A
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An emergency room nurse assesses a client who was rescued from a home fire. The client suddenly develops
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a loud, brassy cough. Which action should the nurse take first?
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A. Apply oxygen and continuous pulse oximetry.
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B. Provide small quantities of ice chips and sips of water.
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C. Request a prescription for an antitussive medication.
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, D. Ask the respiratory therapist to provide humidified air. - correct answer A
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A nurse prepares to administer intravenous cimetidine (Tagamet) to a client who has a new burn injury. The
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client asks, Why am I taking this medication? How should the nurse respond?
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A. Tagamet stimulates intestinal movement so you can eat more.
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B. It improves fluid retention, which helps prevent hypovolemic shock.
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C. It helps prevent stomach ulcers, which are common after burns.
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D. Tagamet protects the kidney from damage caused by dehydration. - correct answer C
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A nurse cares for a client with a burn injury who presents with drooling and
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difficulty swallowing. Which action should the nurse take first?
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A. Assess the level of consciousness and pupillary reactions.
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B. Ascertain the time food or liquid was last consumed.
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C. Auscultate breath sounds over the trachea and bronchi.
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D. Measure abdominal girth and auscultate bowel sounds. - correct answer C
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A nurse receives new prescriptions for a client with severe burn injuries who is
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receiving fluid resuscitation per the Parkland formula. The clients urine output
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continues to range from 0.2 to 0.25 mL/kg/hr. Which prescription should the
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nurse question? w




A. Increase intravenous fluids by 100 mL/hr.
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B. Administer furosemide (Lasix) 40 mg IV push.
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C. Continue to monitor urine output hourly.
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D. Draw blood for serum electrolytes STAT. - correct answer B
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A nurse reviews the laboratory results for a client who was burned 24 hours ago. Which laboratory result
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should the nurse report to the health care provider immediately?
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A. Arterial pH: 7.32
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B. Hematocrit: 52%
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