ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 26 Questions
Question 1 of 5
A nurse receives new prescriptions for a client with severe burn injuries who is receiving fluid resuscitation per the Parkland formula. The clients urine output continues to range from 0.2 to 0.25 ml/kg/h. Which prescription should the nurse question?
Correct Answer: B
Rationale: Furosemide is inappropriate as it promotes fluid loss, which is contraindicated in a client with inadequate urine output (0.5 ml/kg/hr is the target). Increasing fluids, monitoring urine output, and checking electrolytes are appropriate actions.
Question 2 of 5
An emergency room nurse assesses a client who was rescued from a home fire. The client suddenly develops a loud, brassy cough. Which action should the nurse take first?
Correct Answer: A
Rationale: Brassy cough and wheezing are signs of inhalation injury. The first action by the nurse should be to apply oxygen and monitor with continuous pulse oximetry to ensure adequate oxygenation.
Question 3 of 5
A nurse assesses a client who has a burn injury. Which statement indicates the client has a positive perspective of his or her appearance?
Correct Answer: C
Rationale: Indicators that the client with a burn injury has a positive perception of his or her appearance include a willingness to touch the affected body part. Self-care activities such as morning care foster feelings of self-worth, which are closely linked to body image.
Question 4 of 5
A nurse cares for a client with burn injuries. Which intervention should the nurse implement to appropriately reduce the clients pain?
Correct Answer: A
Rationale: Intravenous morphine sulfate is appropriate for pain management in burn injuries due to absorption issues with intramuscular routes and the need for rapid pain relief.
Question 5 of 5
A nurse assesses a client admitted with deep partial-thickness and full-thickness burns on the face, arms, and chest. Which assessment finding should alert the nurse to a potential complication?
Correct Answer: B
Rationale: A urine output of 20 ml/hr indicates inadequate fluid resuscitation, which can lead to hypoperfusion and organ damage, a critical complication in burn injuries.