A client presents from home with parents who report finding an empty bottle of acetaminophen on the client’s bed. The client is awake, alert, and oriented and reports taking “more than 20, but I don’t really know”. The nurse prepares for administration of which medication?

A nurse is working on a burn unit at a large university hospital. Which client should the nurse assess first?

A client is brought to the ED with third-degree burns on his face, neck, and chest. Upon assessment, the client has shallow breathing, pulse oximetry of 90%, and is disoriented. The nurse prepares for which priority intervention? 

A nurse is caring for a recently admitted client with an epidural hematoma. Past medical history includes hypertension, alcoholism, and coronary artery disease. The client is currently responsive to painful stimuli only and on mechanical ventilation. The most recent vital signs are Temperature: 99.0°F BP: 142/88 HR: 118 Respirations: 22 O2 Sat: 95%. In shift report, the nurse reported that the client was in a Sinus Rhythm with frequent PACs. The current cardiac rhythm is below. Which of the treatments should the nurse verify with the healthcare provider?

A nurse in a burn unit noted the clients stool has evidence of blood this morning. The healthcare provider has ordered stool for occult blood. The nurse expects additional orders based on this finding. What orders would the nurse expect?  

A group of nursing students was invited to attend a disaster team conference. After the conference the presenter knows teaching was effective when the students identify which statement as the best description of the role of a nurse during a disaster?

When liver failure is evident in the patient with MODS, what protective interventions should the nurse initiate?

The emergency department nurse has just admitted a patient with a burn. What characteristic of the burn will primarily determine whether the patient experiences a systemic response to this injury?

An 11 year old boy has been brought to the ED by his teacher, who reports that the boy may be having a “really bad allergic reaction to peanuts” after trading lunches with a peer. The nurse’s rapid assessment reveals the presence of respiratory arrest. What interventions should the nurse prioritize?

A client with a partial-thickness burn injury had a xenograft applied. The family asks the nurse why the area looks so different from the patient’s skin. The nurse responds to the family with which statement?