Nurse Ron is assessing a client admitted with second- and third-degree burns on the face, arms, and chest. Which finding indicates a potential problem?

Correct Answer: B

Rationale: The correct answer is B because a urine output of 20 ml/hour indicates potential hypovolemia or inadequate perfusion, which can lead to poor tissue perfusion and compromised healing in burn patients. This finding suggests a need for intervention to optimize fluid balance and prevent complications. A: A PaO2 value of 80 mm Hg can be within normal limits and does not specifically indicate a problem related to burns. C: White pulmonary secretions may suggest pulmonary infection but may not directly relate to the burns. D: A rectal temperature of 100.6°F (38°C) is slightly elevated and may be a normal response to the body's inflammatory process after burns, not necessarily indicating a problem.

Correct Answer: C

Rationale: The correct answer is C: Decreases inflammation. Colchicine is used in the treatment of gout because it inhibits the inflammatory response that occurs during gout flare-ups. It works by disrupting the inflammatory process, particularly by inhibiting the migration of neutrophils to the affected area. This reduces the inflammation, pain, and swelling associated with gout attacks. Explanation of other choices: A: Replaces estrogen - This is incorrect because colchicine does not have any role in replacing estrogen in the body. B: Decreases infection - This is incorrect because colchicine does not have any direct effect on fighting infections. D: Decreases bone demineralization - This is incorrect because colchicine is not used to treat bone-related conditions such as osteoporosis.

Correct Answer: D

Rationale: Rationale: Performing capillary glucose testing every 4 hours is crucial preoperatively for a transsphenoidal hypophysectomy because the surgery can cause alterations in glucose levels due to stress response and potential pituitary dysfunction. Monitoring glucose levels helps prevent complications like hypoglycemia or hyperglycemia. Testing for ketones in the urine (A) is not specific to glucose levels. Testing urine specific gravity (B) is not as relevant for monitoring glucose levels. Checking temperature every 4 hours (C) is important but not directly related to potential complications from the surgery.

Correct Answer: D

Rationale: The correct answer is D: Fat embolism. In this scenario, a 67-year-old client with acute shortness of breath and hypoxia after a right femur fracture is likely experiencing a fat embolism. Fat embolism occurs when fat globules enter the bloodstream, often following long bone fractures. These fat globules can travel to the lungs and cause respiratory distress. Asthma attack (A), atelectasis (B), and bronchitis (C) are less likely in this case as they do not typically present acutely following a femur fracture.

Correct Answer: D

Rationale: The correct answer is D because putting on the elastic stockings before getting out of bed in the morning helps prevent blood pooling in the lower extremities. This statement indicates the client understands the importance of wearing the stockings to promote circulation. Choice A is incorrect because the client should follow the prescribed duration for wearing the stockings, not wait for the physician's instruction to remove them. Choice B is incorrect as wearing stockings while sleeping may not be necessary unless specified by the healthcare provider. Choice C is incorrect as removing the stockings for a prolonged period every four hours may not be recommended as consistent wear is typically more beneficial for circulation.