In evaluating the adequacy of fluid resuscitation in a burn client, which assessment provides the most reliable indicator?

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Integumentary System Quiz Questions Questions

Question 1 of 5

In evaluating the adequacy of fluid resuscitation in a burn client, which assessment provides the most reliable indicator?

Correct Answer: B

Rationale: Urine output is the most reliable indicator of fluid resuscitation adequacy as it reflects renal perfusion.

Question 2 of 5

Which intervention should the recovery room nurse implement for a client who has just had a left BKA?

Correct Answer: C

Rationale: A tourniquet is kept at bedside to control bleeding emergencies.

Question 3 of 5

The nurse is caring for an 88-year-old client admitted to the orthopedic floor with the diagnosis of fractured pelvis. Which intervention should the nurse implement first?

Correct Answer: C

Rationale: Assessing bowel sounds first evaluates gastrointestinal function, which can be affected by a pelvic fracture and is a priority before invasive interventions.

Question 4 of 5

Which statement by the client prescribed calcitonin, a thyroid hormone, indicates to the nurse the teaching has been effective?

Correct Answer: A

Rationale: Alternating nostrils for calcitonin nasal spray prevents irritation, indicating effective teaching.

Question 5 of 5

The nurse is evaluating a client in skeletal traction. When evaluating the pin sites, the nurse would be most concerned with which finding?

Correct Answer: C

Rationale: Thick, yellow drainage indicates infection, a serious concern requiring intervention.

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