Answer to Question 1
ANS: D
Pulmonary edema can result from fluid resuscitation given for burn treatment. This can occur even in a young healthy person. Placing the client in an upright position can relieve lung congestion immediately before other measures can be carried out. Although Lasix may be used to treat pulmonary edema in clients who are fluid overloaded, a client with a burn injury will lose a significant amount of fluid through the broken skin; therefore, Lasix would not be appropriate. Chest physiotherapy will not get rid of fluid.
Answer to Question 2
ANS: C
Inhalation injuries are present in 7 of clients admitted to burn centers. Drooling and difficulty swallowing can mean that the client is about to lose his or her airway because of this injury. Absence of breath sounds over the trachea and bronchi indicates impending airway obstruction and demands immediate intubation. Knowing the level of consciousness is important in assessing oxygenation to the brain. Ascertaining the time of last food intake is important in case intubation is necessary (the nurse will be more alert for signs of aspiration). However, assessing for air exchange is the most important intervention at this time. Measuring abdominal girth is not relevant in this situation.
Many hobbies and leisure activities have some risk of health-related injuries
The nurse assesses the patient's ability to use the walker correctly
Arthrocentesis. The aspiration of fluid is a common treatment for joint injuries resulting in inflam
Patient teaching: lung assessment
The nurse conveys attentive listening through a posture of involvement
Testing the client’s ability to feel vibrations, the knee