Which information obtained by the nurse about a patient with a lumbar vertebral compression fracture requires an immediate report to the health care provider?

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Incontinence of urine and stool indicates potential spinal cord injury or nerve compression, requiring immediate evaluation. 2. Choice A is important but does not indicate a life-threatening condition. 3. Choice C is expected with a lumbar vertebral compression fracture and can be managed conservatively. 4. Choice D is relevant for long-term management but does not require immediate intervention.

Correct Answer: C

Rationale: The correct action before administering gentamicin for a patient with acute osteomyelitis is to review the patient’s serum creatinine (Choice C). This is crucial because gentamicin is nephrotoxic, and assessing the patient's renal function helps to prevent kidney damage. Checking for serum creatinine levels allows the nurse to determine if the patient's kidneys can safely metabolize and excrete the medication without causing harm. Choice A (Ask the patient about any nausea) is not directly related to the safe administration of gentamicin for osteomyelitis. Choice B (Obtain the patient’s oral temperature) is important for monitoring infection but is not specifically required before administering gentamicin. Choice D (Change the prescribed wet-to-dry dressing) is unrelated to medication administration and wound care.

Correct Answer: D

Rationale: The correct answer is D because LPN/LVNs are not typically trained to explain medical tests to patients. LPN/LVNs can administer patch testing, interview patients, and apply sterile dressings under the supervision of a healthcare provider. Explaining medical tests requires a higher level of knowledge and skill, usually performed by registered nurses or healthcare providers. Therefore, delegating the task of explaining potassium hydroxide testing to an LPN/LVN would not be within their scope of practice.

Correct Answer: C

Rationale: The correct answer is C: Edema of the eyelids. This is correct because rosacea can sometimes lead to ocular complications, such as blepharitis, conjunctivitis, and edema of the eyelids. These conditions can affect the eyes of individuals with rosacea. Rationale: - A: Inflamed and tender axillary lymph nodes are not typically associated with rosacea. This is an incorrect choice. - B: While eye problems are a potential complication of rosacea, edema of the eyelids is a more specific and direct complication that should be assessed for. - D: Large abscesses on the upper arms and neck are not commonly associated with rosacea. This choice is incorrect.

Correct Answer: A

Rationale: The correct answer is A: Focus on replacing fluids that have been lost from the vascular, interstitial, and cellular compartments. In burn injuries, there is a significant loss of fluids due to damage to the skin barrier. Prioritizing fluid replacement helps prevent hypovolemic shock and maintains adequate tissue perfusion. This is crucial in managing burn patients to prevent complications like organ failure. Choices B, C, and D are incorrect: B: Assessing for airway compromise is important but not the top priority in this scenario. Fluid resuscitation takes precedence in managing burn injuries. C: Maintaining a sterile field is important for infection prevention but is not the immediate priority over fluid replacement. D: Withholding nutrition is not recommended as burn injuries increase the body's metabolic demands. Providing adequate nutrition supports healing and recovery, so withholding food can be detrimental. In summary, fluid replacement is prioritized in burn injuries to prevent shock and maintain tissue perfusion.