[May 17, 2024] NCLEX NCLEX-RN Exam Dumps Files, Q1/488: An 11-year-old boy has received a partial-thickness burn to both legs. He presents to the emergency room

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Question 1/488

An 11-year-old boy has received a partial-thickness burn to both legs. He presents to the emergency room approximately 15 minutes after the accident in excruciating pain with charred clothing to both legs. What is the first nursing action?

A. Apply ice packs to both legs.

B. Begin debridement by removing all charred clothing from wound.

C. Apply Silvadene cream (silver sulfadiazine).

D. Immerse both legs in cool water.

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Which of the following intervent...; Q310. The nurse is assessing breath sounds in a bronchovesicular client. She should expect that:...; Q311. When interviewing parents who are suspected of child abuse, the nurse would use which of t...; Q312. A female client has been diagnosed with chronic renal failure. She is a candidate for eith...; Q313. A client has a history of alcoholism. He is currently diagnosed with cirrhosis of the live...; Q314. In assessing the nature of the stool of a client who has cystic fibrosis, what would the n...; Q315. The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse...; Q316. The most frequent cause of early postpartum hemorrhage is:...; Q317. A child is to receive atropine 0.15 mg (1/400 g) as part of his preoperative medication. A...; Q318. A 79-year-old client with Alzheimer's disease is exhibiting significant memory impairment,...; Q319. A client undergoes a transurethral resection, prostate (TURP). He returns from surgery wit...; Q320. A 14-year-old teenager is demonstrating behavior indicative of an obsessive-compulsive dis...; Q321. Diagnostic assessment findings for an infant with possible coarctation of the aorta would ...; Q322. What is the most effective method to identify early breast cancer lumps?...; Q323. A 16-year-old diabetic girl has been selected as a cheerleader at her school. She asks the...; Q324. A client has had amniocentesis. One of the tests performed on the amniotic fluid is a leci...; Q325. The mother of a child taking phenytoin will need to plan appropriate mouth care and gingiv...; Q326. A 6-year-old child is attending a pediatric clinic for a routine examination. What should ...; Q327. A 45-year-old male client experiences a sense of depression because he has not yet achieve...; Q328. A male client was diagnosed 6 months ago with amyotrophic lateral sclerosis (ALS). The pro...; Q329. Which one of the following is considered a reliable indicator for assessing the adequacy o...; Q330. A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adoles...; Q331. A 24-year-old client presents to the emergency department protesting "I am God." The nurse...; Q332. A client had abdominal surgery this morning. The nurse notices that there is a small amoun...; Q333. A client is being discharged and will continue enteral feedings at home. Which of the foll...; Q334. The nurse will be alert to the most potentially lifethreatening side effect associated wit...; Q335. While changing the dressing on a client's central line, the nurse notices redness and warm...; Q336. A female client at 10 weeks' gestation complains to her physician of slight vaginal bleedi...; Q337. A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescr...; Q338. The priority nursing goal when working with an autistic child is:...; Q339. A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing...; Q340. At 12 hours postvaginal delivery, a female client is without complications. Which of the f...; Q341. The nurse is assisting a 4th-day postoperative cholecystectomy client in planning her meal...; Q342. A male client received a heart-lung transplant 1 month ago at a local transplant center. W...; Q343. A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to...; Q344. When a client questions the nurse as to the purpose of exercise electrocardiography (ECG) ...; Q345. The physician orders haloperidol 5 mg IM stat for a client and tells the nurse that the do...; Q346. A 6-year-old girl is visiting the outpatient clinic because she has a fever and a rash. Th...; Q347. Proper positioning for the child who is in Bryant's traction is:...; Q348. In healthcare settings, nurses must be familiar with primary, secondary, and tertiary leve...; Q349. In a client with chest trauma, the nurse needs to evaluate mediastinal position. This can ...; Q350. Home-care instructions for the child following a cardiac catheterization should include:...; Q351. Parents of young children often need anticipatory guidance from the nurse. Parents may hav...; Q352. A 16-year-old female client is admitted to the hospital because she collapsed at home whil...; Q353. The mother of a child taking phenytoin will need to plan appropriate mouth care and gingiv...; Q354. In counseling a client, the nurse emphasizes the danger signals during pregnancy. On the n...; Q355. A client is resting comfortably after delivering her first child. When assessing her pulse...; Q356. A nurse is performing a vaginal exam on a client in active labor. An important landmark to...; Q357. A client was admitted with rib fractures and a pneumothorax, which were sustained as a res...; Q358. A client is having episodes of hyperventilation related to her surgery that is scheduled t...; Q359. A male client tells his nurse that he has had an ulcer in the past and is afraid it is "fl...; Q360. A 26-year-old client is diagnosed with an astrocytoma, a benign brain tumor. From the nurs...; Q361. A 30-year-old client has a history of several recent traumatic experiences. She presents a...; Q362. Assessment of a newborn for Apgar scoring includes observation for:...; Q363. A client has been in labor for 10 hours. Her contractions have become hypoactive and slowe...; Q364. A client is having an amniocentesis. Prior to the procedure, an ultrasound is performed. I...; Q365. A client's behavior is annoying other clients on the unit. He is meddling with their belon...; Q366. During the active phase of rheumatic fever, the nurse teaches parents of a child with acut...; Q367. A 47-year-old client has been admitted to the general surgery unit for bowel obstruction. ...; Q368. A 16-month-old infant is being prepared for tetralogy of Fallot repair. In the nursing ass...; Q369. A child receiving chemotherapeutic drugs experiences a loss of appetite directly related t...; Q370. On morning rounds, the nurse found a manic-depressive client who is taking lithium in a co...; Q371. A 20-year-old male client is being treated for protein deficiency. If he likes all of the ...; Q372. A client is being discharged from the hospital today. The discharge teaching for care of h...; Q373. When a client with pancreatitis is discharged, the nurse needs to teach him how to prevent...; Q374. A 12-year-old girl has been diagnosed with insulindependent diabetes mellitus. Which of th...; Q375. A pregnant client comes to the office for her first prenatal examination at 10 weeks. She ...; Q376. The postpartum nurse should include which of the following instructions to breast-feeding ...; Q377. A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is cur...; Q378. The primary reason for sending a burn client home with a pressure garment, such as a Jobst...; Q379. After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and...; Q380. A client with severe PIH receiving MgSO4 is placed in a quiet, darkened room. The nurse ba...; Q381. An 80-year-old male client with a history of arteriosclerosis is experiencing severe pain ...; Q382. The nurse would teach a male client ways to minimize the risk of infection after eye surge...; Q383. A 44-year-old female client is receiving external radiation to her scapula for metastasis ...; Q384. An 8-year-old child is admitted to the hospital for surgery. She has had no previous hospi...; Q385. A male client is diagnosed with hypoparathyroidism. He has been on dialysis for several ye...; Q386. A female client with major depression stated that "life is hopeless and not worth living."...; Q387. On admission, the client has signs and symptoms of pulmonary edema. The nurse places the c...; Q388. A 55-year-old client is unconscious, and his physician has decided to begin tube feeding h...; Q389. The predominant purpose of the first Apgar scoring of a newborn is to:...; Q390. A 28-year-old client performs a long, involved ritual in getting up and preparing for the ...; Q391. The mother of a preschooler reports to the nurse that he frequently tells lies. The admiss...; Q392. A client had a renal transplant 3 months ago. He has suddenly developed graft tenderness, ...; Q393. A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in hi...; Q394. A client has received preoperative teaching for the vertical partial laryngectomy that he ...; Q395. In assisting preconceptual clients, the nurse should teach that the corpus luteum secretes...; Q396. Morphine sulfate 4 mg IV push q2h prn for chest pain was ordered for a client in the emerg...; Q397. A 71-year-old client fell and injured her left leg while cooking in the kitchen. Her husba...; Q398. The nurse is teaching a 10-year-old insulin-dependent diabetic how to administer insulin. ...; Q399. A 26-year-old client is in a treatment center for aprazolam (Xanax) abuse and continues to...; Q400. A 38-year-old female client with a history of chronic schizophrenia, paranoid type, is cur...; Q401. A client who has been diagnosed with anorexia nervosa refuses to eat lunch. The most thera...; Q402. A 67-year-old man had a physical examination prior to beginning volunteer work at the hosp...; Q403. The nurse would expect to include which of the following when planning the management of t...; Q404. The nurse will be alert to the most potentially lifethreatening side effect associated wit...; Q405. A young child has been placed in a spica cast. The chief concern of the nurse during the f...; Q406. Succinylcholine chloride (Anectine) is ordered prior to electroconvulsive therapy treatmen...; Q407. The nurse is teaching a mother care of her child's spica cast. The mother states that he c...; Q408. A client had a ruptured abdominal aortic aneurysm that was repaired surgically. Her postop...; Q409. During his hospitalization, a 3-year-old child has become unusually aggressive in his play...; Q410. A 24-year-old male client is admitted with a diagnosis of sickle cell anemia. The nurse di...; Q411. A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat ...; Q412. A client's wife is concerned over his behavior in recent months. He has been diagnosed wit...; Q413. A male client is experiencing auditory hallucinations. His nurse enters the room and he te...; Q414. A male client has a history of diverticulosis. He has questions about the foods that he sh...; Q415. A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6...; Q416. The nurse is aware that nutrition is an important aspect of care for a client with hepatit...; Q417. A 19-year-old primigravida is admitted to the labor and delivery suite of the hospital. He...; Q418. Nursing care for the parents of a child with a congenital heart defect would include:...; Q419. A client diagnosed with bipolar disorder continues to be hyperactive and to lose weight. W...; Q420. A 20-year-old male client is being treated for protein deficiency. If he likes all of the ...; Q421. A 70-year-old client is almost finished receiving her second unit of packed red blood cell...; Q422. A female client has been recently diagnosed as bipolar. She has taken lithium for the past...; Q423. A successful executive left her job and became a housewife after her marriage to a plastic...; Q424. A 4 year old has an imaginary playmate, which concerns the mother. The nurse's best respon...; Q425. A 42-year-old client on an inpatient psychiatric unit comments that he was brought to the ...; Q426. Which of the following procedures is necessary to establish a definitive diagnosis of brea...; Q427. The nurse notes multiple bruises on the arms and legs of a newly admitted client with lupu...; Q428. A postoperative prostatectomy client is preparing for discharge from the hospital the next...; Q429. A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some ...; Q430. A 14-year-old teenager is hospitalized for anorexia nervosa. She is admitted to the adoles...; Q431. A client is a depressed, 48-year-old salesman. A serious concern for the nurse working wit...; Q432. The 4th of July holiday comes while a client is in the hospital being treated for schizoph...; Q433. A female client has married recently. A month ago she visited her physician with complaint...; Q434. The 4th of July holiday comes while a client is in the hospital being treated for schizoph...; Q435. A 6-year-old child is attending a pediatric clinic for a routine examination. What should ...; Q436. A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). ...; Q437. MgSO4 blood levels are monitored and the nurse would be prepared to administer the followi...; Q438. A 22-year-old client is 16 weeks pregnant. She and her husband are expecting their first b...; Q439. A psychiatric nurse is providing an orientation to a new staff nurse. She reminds the nurs...; Q440. On morning rounds, the nurse found a manic-depressive client who is taking lithium in a co...; Q441. The nurse is caring for a laboring client. Assessment data include cervical dilation 9 cm;...; Q442. A female client has been recently diagnosed as bipolar. She has taken lithium for the past...; Q443. The nurse is caring for a 2-year-old girl with a subdural hematoma of the temporal area as...; Q444. A new mother experiences strong uterine contractions while breast-feeding her baby. She ex...; Q445. A common complication of cirrhosis of the liver is prolonged bleeding. The nurse should be...; Q446. A 19-year-old male client arrived via ambulance to the emergency room following a motorcyc...; Q447. A client is a victim of domestic violence. She is now receiving assistance at a shelter fo...; Q448. A 52-year-old client who underwent an exploratory laparotomy for a bowel obstruction begin...; Q449. A client with cirrhosis of the liver becomes comatose and is started on neomycin 300 mg q6...; Q450. A client is going to have a pneumonectomy in the morning. She had a previous negative surg...; Q451. The nurse teaches a pregnant client that a high-risk symptom occurring at any time during ...; Q452. The nurse is teaching a child's parents how to protect the child from lead poisoning. The ...; Q453. In caring at home for a child who just ingested a caustic alkali, the nurse would immediat...; Q454. A 74-year-old obese man who has undergone open reduction and internal fixation of the righ...; Q455. A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to...; Q456. An 11-month-old infant is admitted with a possible diagnosis of pyloric stenosis. Which of...; Q457. A client reports to the nurse that the voices are practically nonstop and that he needs to...; Q458. A male client was involved in a motor vehicle accident earlier in the day. The nurse carin...; Q459. A client at 6 months' gestation complains of tiredness and dizziness. Her hemoglobin level...; Q460. During the active phase of rheumatic fever, the nurse teaches parents of a child with acut...; Q461. Which of the following nursing orders has the highest priority for a child with epiglottit...; Q462. The nurse is collecting a nutritional history on a 28- year-old female client with iron-de...; Q463. A 32-year-old mother of two was brought to the hospital by her husband. He reported that h...; Q464. A client is admitted to the hospital for an induction of labor owing to a gestation of 42 ...; Q465. A 23-year-old male client is admitted to the chemical dependency unit with a medical diagn...; Q466. A client had a myocardial infarction 5 days ago. His physician has ordered an echocardiogr...; Q467. The child with iron poisoning is given IV deferoxamine mesylate (Desferal). Following admi...; Q468. On an assessment of a client's mouth, the nurse notices white patches on the buccal mucosa...; Q469. A client is being discharged from the hospital today. The discharge teaching for care of h...; Q470. The pediatrician has diagnosed tinea capitis in an 8- year-old girl and has placed her on ...; Q471. Three hours postoperatively, a 27-year-old client complains of right leg pain after knee r...; Q472. Parents of young children often need anticipatory guidance from the nurse. Parents may hav...; Q473. In an interview for suspected child abuse, the child's mother openly discusses her feeling...; Q474. A client sustained second- and third-degree burns to his face, neck, and upper chest. Whic...; Q475. A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect...; Q476. To facilitate maximum air exchange, the nurse should position the client in:...; Q477. The nurse will be alert to the most potentially lifethreatening side effect associated wit...; Q478. The nurse assesses a postoperative mastectomy client and notes that breath sounds are dimi...; Q479. The nurse is developing a plan of care for a client with an electrolyte imbalance and iden...; Q480. A pregnant client comes to the office for her first prenatal examination at 10 weeks. She ...; Q481. In the coronary care unit, a client has developed multifocal premature ventricular contrac...; Q482. A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in hi...; Q483. A 24-hours' postpartum client complains of discomfort at the episiotomy site. On assessmen...; Q484. A client has renal failure. Today's lab values indicate he has an elevated serum potassium...; Q485. A child receiving chemotherapeutic drugs experiences a loss of appetite directly related t...; Q486. A 48-hour-old male infant is ordered to have phototherapy. When his mother questions the n...; Q487. A client is being treated for congestive heart failure. His medical regimen consists of di...; Q488. A 2-year-old toddler is hospitalized with epiglottitis. In assessing the toddler, the nurs...

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