In an industrial accident, a male client that weighs 155 lb. (70 kg) sustained full thickness burns over 40% of his body. He is in the burn unit receiving fluid resuscitation. Which observation shows that the fluid resuscitation is benefiting the client?

Correct Answer: A

Rationale: Rationale: Urine output above 100 ml/hour indicates adequate perfusion and kidney function, a key indicator of effective fluid resuscitation in burn patients. This ensures proper circulation and helps prevent acute kidney injury. In contrast, choices B, C, and D are signs of inadequate fluid resuscitation: low blood pressure (hypotension), high pulse rate (tachycardia), and increased respiratory rate (tachypnea) are signs of hypovolemic shock and inadequate tissue perfusion.

Correct Answer: A

Rationale: The correct answer is A: Complaints of epigastric pain. Prednisone can cause gastrointestinal side effects such as stomach irritation, ulcers, or gastritis, which may present as epigastric pain. This is concerning as it can lead to serious complications like gastrointestinal bleeding. Increased appetite (B) and mild weight gain (C) are common side effects of prednisone and are not as concerning as epigastric pain. Improved skin condition (D) is actually a positive outcome of prednisone therapy for seborrheic dermatitis and indicates treatment effectiveness.

Correct Answer: C

Rationale: The correct answer is C because malathion(Ovide) is a recommended alternative treatment for lice when lindane(Qwell) has already been used. Malathion works differently and may be more effective in this case. Choice A is incorrect as lice do not typically survive off the human scalp for long. Choice B is incorrect because using the same treatment multiple times may not be effective. Choice D is incorrect as oral medications are not typically recommended for lice treatment.

Correct Answer: D

Rationale: The correct answer is D: Regulates temperature set point. The skin helps regulate body temperature by dilating or constricting blood vessels and through sweating. This is essential for maintaining homeostasis. A: Assists in water retention - This is incorrect. The skin does not play a significant role in water retention; that is mainly controlled by the kidneys. B: Initiates tactile sensations - While the skin does initiate tactile sensations, it is not listed as a function in this question. C: Provides physical barrier - While the skin does provide a physical barrier, it is not the main function related to the regulation of temperature set point.

Correct Answer: C

Rationale: The correct answer is C: Request a patient-controlled analgesia (PCA) pump for the client. This option is appropriate because the client is experiencing severe pain (level 10) due to full-thickness burns, which require consistent pain management. PCA allows the client to self-administer pain medication within safe limits, ensuring adequate pain control. It provides better pain relief compared to intermittent dosing like IM injections every 2 hours. Option A is incorrect because administering 5 mg of morphine immediately may not provide sustained pain relief and could lead to overmedication. Option B is not the best choice as it delays immediate pain relief and does not address the need for continuous pain management. Option D is also not ideal as assessing for complications should not delay pain relief and is not as effective as providing continuous pain control with a PCA pump.