The HCP prescribed morphine 2 to 5 mg intramuscular (IM) every 2 hours for the client diagnosed with full-thickness burns to the chest and abdominal area reporting pain of 10 on a 1-10 scale. Which intervention should the nurse implement?

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.

Correct Answer: A

Rationale: The correct answer is A: Infection. Sebaceous cysts can become infected due to bacteria entering the cyst, causing inflammation, redness, and pain. Infection can lead to abscess formation and require medical intervention. Keratin horn formation (B) is a rare occurrence associated with epidermoid cysts, not sebaceous cysts. Calcification (C) is not a common complication of sebaceous cysts. Ulceration (D) may occur if the cyst is traumatized but is not a typical complication.

Correct Answer: C

Rationale: The correct answer is C. Cystic hygromas are lymphatic malformations that are typically located in the neck and are filled with lymphatic fluid. They are supremely transilluminable due to their fluid content, which allows light to pass through easily. This characteristic helps differentiate them from other neck masses. Explanation for other choices: A: They do not arise from the carotid body lymph sac in the neck. Cystic hygromas are not associated with the carotid body. B: They can be unilocular or multilocular, so stating they consist of a unilocular cystic mass is not entirely accurate. D: It is not inherently dangerous to treat cystic hygromas with alcohol sclerotherapy, but careful consideration and expertise are necessary to avoid complications.

Correct Answer: D

Rationale: The correct answer is D: Ultraviolet light. Melanoma is primarily caused by exposure to UV light, which damages skin cells and increases the risk of developing melanoma. UV light triggers mutations in skin cells, leading to the development of melanoma. Age (A), Gender (B), and Ethnicity (C) are not direct risk factors for melanoma, although older individuals and those with fair skin are at higher risk due to increased cumulative UV exposure. UV light is the most significant risk factor for melanoma, making it the correct choice.

Correct Answer: A

Rationale: The correct answer is A: A few minutes before the next scheduled dose of medication. This timing ensures that the trough level represents the lowest concentration of the antibiotic in the client's bloodstream, allowing for an accurate assessment of how well the medication is being metabolized and eliminated. Explanation: 1. Trough level is usually measured just before the next dose to ensure that the drug has reached its lowest concentration. 2. This timing helps determine if the drug concentration remains within the therapeutic range and if adjustments to the dosing regimen are needed. 3. Option B is incorrect because waiting 1-2 hours after oral administration would not reflect the trough level. 4. Option C is incorrect as measuring 30 minutes after IV administration would not capture the trough level accurately. 5. Option D is incorrect because measuring during infusion would not provide an accurate trough level. In summary, the trough level should be ordered just before the next dose to accurately assess the drug's concentration at its lowest point.