The nurse is caring for a client who sustained superficial partial-thickness burns on the anterior lower legs and anterior thorax. Which finding does the nurse expect to note during the resuscitation/emergent phase of the burn injury?

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Question 1 of 5

The nurse is caring for a client who sustained superficial partial-thickness burns on the anterior lower legs and anterior thorax. Which finding does the nurse expect to note during the resuscitation/emergent phase of the burn injury?

Correct Answer: D

Rationale: The correct answer is D: Elevated hematocrit levels. During the resuscitation/emergent phase of burn injury, the body responds by shifting fluids from the intravascular space to the interstitial space, leading to hemoconcentration and elevated hematocrit levels. This occurs due to increased capillary permeability and fluid loss. A: Decreased heart rate is not typically expected during the resuscitation phase of burn injury. B: Increased urinary output may occur in the diuretic phase, which follows the resuscitation phase. C: Increased blood pressure is not a typical finding during the resuscitation phase of burn injury. In summary, the correct answer is D because hemoconcentration and elevated hematocrit levels are expected due to fluid shifts in the resuscitation/emergent phase of burn injury.

Question 2 of 5

What teaching should the nurse implement regarding taking calcium carbonate (Tums) for osteoporosis?

Correct Answer: C

Rationale: Step 1: Calcium carbonate needs stomach acid for absorption. Step 2: Taking 30-60 mins before a meal ensures optimal stomach acid levels. Step 3: Absorption is best in acidic environment. Step 4: Taking with meals can decrease absorption. Step 5: Other choices are incorrect as they do not address optimal absorption of calcium carbonate.

Question 3 of 5

Which statement by the client diagnosed with a fractured ulna indicates to the nurse the client needs further teaching?

Correct Answer: D

Rationale: The correct answer is D because keeping the immobilizer on only when lying down is incorrect. The client should wear the immobilizer at all times to promote proper healing and prevent further injury. Choice A is correct as a high-protein diet aids in tissue repair. Choice B is correct as finger wiggling promotes circulation. Choice C is correct as taking pain medication preemptively is better than waiting for severe pain.

Question 4 of 5

The client is prescribed Fosamax, a bisphosphonate. Which information should the nurse teach?

Correct Answer: A

Rationale: Rationale: A is correct because bisphosphonates like Fosamax should be taken with a full glass of water on an empty stomach to maximize absorption. Water helps prevent esophageal irritation. B is incorrect because it should be taken on an empty stomach. C is incorrect because sensitivity to sunlight is not a common side effect of Fosamax. D is incorrect because bisphosphonates do not directly increase calcium reabsorption.

Question 5 of 5

The nurse has given instructions to a client returning home after knee arthroscopy. Which statement by the client indicates that the instructions are understood?

Correct Answer: D

Rationale: The correct answer is D because reporting fever or swelling post knee arthroscopy is crucial to prevent complications like infection or blood clots. This demonstrates understanding of the potential risks and the importance of prompt communication with the healthcare provider. Choice A is incorrect as immediate resumption of regular exercise after knee arthroscopy can lead to further injury. Choice B is incorrect as proper nutrition is important for recovery. Choice C is incorrect as some weight-bearing might be necessary as per physician's advice.

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