ATI ADVANCED MED SURG PROCTORED 2023 WITH GLASGOW COMA SCALE REAL EXAM
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1. A nurse in a burn treatment center is caring for a client who is admitted with
severe burnsto both lower extremities and is pending an escharotomy. The clientâs
spouse asksthe nurse what the procedure entails. Which of the following
nursing statements is appropriate?
a. âlarge incisions will be made in the eschar to improve circulationâ
b. â I can call the doctor back here if you want me toâ
c. âa piece ofskin will be removed and grafted over the burned areaâ
d. âdead tissue will be surgically removedâ
2. A nurse is monitoring the fluid replacement of a client who hassustained burns.
Which of the following fluids is used in the first 24 hours following a burn injury?
a. 5% dextrose in water
b. 5% dextrose in normal saline
c. normal saline
d. lactated ringers
3. A nurse is caring for a client who has full-thickness burns all over 75% of his
body. Which of the following methods is appropriate to accurately monitor the
cardiovascular system?
a. auscultate cuff blood pressure
b. palpate pulse pressure
c. obtain a central venous pressure
d. monitor the pulmonary artery pressure
4. A nurse is assessing the depth and extent of a client who has severe burns to the
face, neck, and upper extremities. Which of the following factors isthe first priority
when assessing the severity of the burn?
a. Age of the client
b. Associated medical history
c. Location of the burn
d. Cause of the burn
Author | Proficient Academic Tutor |
Published | 30 Jul 2024 |
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