Questions 41

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Leadership and Management NCLEX Questions

Extract:


Question 1 of 5

The emergency department (ED) nurse is caring for a client who just arrived with a major thermal burn to 22.5% of the total body surface area (TBSA). Place the following actions in the order in which they need to be performed, starting from first to last.

Order the Items

Source Container

Establish a large bore peripheral vascular access device to unburned skin.
Insert an indwelling urinary catheter to maintain urinary output 0.5 mL/kg/hr.
Administer tetanus prophylaxis as prescribed.
Administer supplemental oxygen if indicated and cover burns with sterile gauze.
Assess the client's airway, breathing, and circulation and obtain vital signs.
Administer prescribed isotonic fluids intravenously to maintain fluid balance.

Correct Answer: E, D, A, F, B, C

Rationale: Initial assessment of airway, breathing, circulation (E) ensures stability, followed by oxygen and burn coverage (
D) for hypoxia prevention. IV access (
A) and fluids (F) address shock, catheter insertion (
B) monitors output, and tetanus prophylaxis (
C) is last, as it’s preventive.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

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Question 5 of 5

Correct Answer:

Rationale:

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