A nurse plans care for a client with burn injuries. Which intervention should the nurse include to ensure adequate nutrition?

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Question 1 of 5

A nurse plans care for a client with burn injuries. Which intervention should the nurse include to ensure adequate nutrition?

Correct Answer: D

Rationale: Collaboration with a dietitian ensures a tailored high-calorie, high-protein diet.

Question 2 of 5

The client comes into the emergency room in severe pain and reports that a pot of boiling hot water accidentally spilled on his lower legs. The assessment reveals blistered, mottled red skin, and both feet are edematous. Which depth of burn should the nurse document?

Correct Answer: B

Rationale: Deep partial-thickness burns involve blisters, mottled red skin, and edema, affecting both the epidermis and deeper dermis, which matches the description.

Question 3 of 5

Which intervention should be included in the plan of care for a client with stage IV pressure ulcers?

Correct Answer: B

Rationale: A dietitian consult addresses nutritional needs critical for healing stage IV pressure ulcers.

Question 4 of 5

The female client calls the clinic and tells the nurse that she has a really big 'boil' in the perineal area that is causing a lot of pain. Which intervention should the nurse implement?

Correct Answer: B

Rationale: Warm, moist compresses promote drainage and pain relief for a boil, a common initial intervention.

Question 5 of 5

The nurse is caring for a client with complaints of a rash and itching on the face for one (1) week. Which intervention should the nurse implement first?

Correct Answer: D

Rationale: Describing the rash's initial appearance helps establish its progression and aids diagnosis.

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