A nurse is caring for a client with a 25% TBSA burn during the intermediate phase of burn care. Which lab value, if present, would indicate the client’s fluid resuscitation has been inadequate?

A patient in compensated hypovolemic shock has hemodynamic monitoring with a pulmonary artery catheter and an arterial catheter. Which information obtained by the nurse indicates that the patient is still in the compensatory stage of shock?

A patient with a deep facial burn from a recent accident is scheduled for a skin graft. The surgeon discusses the option for grafts with the patient. Which type of graft is most suitable for facial reconstruction? 

After reviewing the information shown in the accompanying figure for a patient with cardiac tamponade, which information is most important to report to the health care provider?  Physical Assessment Hemodynamics VItal Signs Muffled heart sounds Cool clammy skin Restlessness Cardiac output (CO) 2 Systemic vascular resistance (SVR) 1400 Central venous pressure (CVP) 7 Blood pressure 90/53 (65) Heart rate 112 Oxygen saturation 90%

A 58-year-old in a severe motor vehicle accident was admitted to the ICU with fractured ribs.The client has labored breathing, tachycardia, low blood pressure, and muffled heart sounds. The client has been diagnosed with obstructive shock related to a tension pneumothorax. Which of the following interventions is priority to aid in treatment for this patients diagnosis of obstructive shock? 

A nurse is performing burn wound care for a client with 30% TBSA full thickness burns. Which topical medication would be best to soften the eschar for debridement but provides no microbial coverage?

A 28 year old client sustains severe electrical burns over 45% of their body surface area following an industrial accident. The client’s weight is 210 lbs. According to the Parkland formula, how much total fluid volume should be administered within the first 24 hours post-injury? Round to the nearest whole number. 

A client presents to the emergency department with suspected carbon monoxide poisoning. Select all nursing interventions that are appropriate for the care of this patient: 

A 28-year-old presents to the emergency department with burns sustained in a kitchen accident. Upon assessment, the nurse observes redness, pain, and blistering over the affected area. The nurse recognizes these findings as indicative of which type of burn?

A 42-year-old female was cleaning the bathroom with bleach and Ajax when she began to experience coughing, shortness of breath and wheezing. Which type of inhalation injury has the patient most likely sustained?