Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A patient, age 27, sustained thermal burns to 18% of her body surface area. After the first 72 hours, the nurse will have to observe for which most common cause of burn-related deaths?
A. shock.
Shock is a concern immediately after the burn injury due to fluid loss but is less likely after the initial 72 hours.
B. hemorrhage.
Hemorrhage is not a common cause of death following burns unless associated with a traumatic injury.
C. respiratory arrest.
Respiratory arrest: Respiratory complications are a concern, but infection remains the leading cause of death post-72 hours.
D. Infection.
Infection: After the first 72 hours, infection becomes the most common cause of burn-related deaths due to the compromised skin barrier and potential for sepsis.
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Full Explanation
A. Shock is a concern immediately after the burn injury due to fluid loss but is less likely after the initial 72 hours.
B. Hemorrhage is not a common cause of death following burns unless associated with a traumatic injury.
C. Respiratory arrest: Respiratory complications are a concern, but infection remains the leading cause of death post-72 hours.
D. Infection: After the first 72 hours, infection becomes the most common cause of burn-related deaths due to the compromised skin barrier and potential for sepsis.
Similar Questions
What is the best test to identify the risk of osteoporosis in postmenopausal women?
A. Skeletal x-ray
Skeletal x-ray: Skeletal x-rays can show bone loss but are not sensitive enough for early detection of osteoporosis.
B. Calcium blood level
Calcium blood level: Blood calcium levels do not directly indicate bone density.
C. Bone density scan
Bone density scan: Bone density scans (DEXA scans) are the gold standard for diagnosing osteoporosis and assessing fracture risk.
D. CAT scan
CAT scan: CAT scans are not typically used for assessing bone density.
Full Explanation
A. Skeletal x-ray: Skeletal x-rays can show bone loss but are not sensitive enough for early detection of osteoporosis.
B. Calcium blood level: Blood calcium levels do not directly indicate bone density.
C. Bone density scan: Bone density scans (DEXA scans) are the gold standard for diagnosing osteoporosis and assessing fracture risk.
D. CAT scan: CAT scans are not typically used for assessing bone density.
What should the nurse do to decrease the patient's disorientation at night during the detoxification period?
A. Use nightlights and remove extra furniture from the room.
Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient.
Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime.
Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack.
Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.
Full Explanation
A. Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.
A perceived threat to self causes what emotion?
A. Depression
Depression is more related to a sense of loss or prolonged stress, not immediate perceived threats.
B. Anxiety
Anxiety is an emotional response to a perceived threat, involving worry and fear about potential danger.
C. Fear
Fear is a direct response to a known and definite threat, whereas anxiety is more about anticipation of a threat.
D. Anger
Anger can result from frustration or perceived injustice but is not primarily driven by perceived threats to self.
Full Explanation
A. Depression is more related to a sense of loss or prolonged stress, not immediate perceived threats.
B. Anxiety is an emotional response to a perceived threat, involving worry and fear about potential danger.
C. Fear is a direct response to a known and definite threat, whereas anxiety is more about anticipation of a threat.
D. Anger can result from frustration or perceived injustice but is not primarily driven by perceived threats to self.