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NUR 235 CARDIOLOGY ACUTE CARE NURSING
FINAL ACTUAL EXAM NEWEST 2025 ACTUAL EXAM
COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+|BRAND NEW!!
The nurse is caring for a client who is 2 days post inhalation burn injury from a house fire. Which outcome best indicates that nurse interventions for impaired gas exchange have been effective? **impaired gas exchange causes confusion** - ANSWER-The client is alert and oriented
A client who is admitted after a thermal burn injury has the
following: BP 70/40, HR 140, R 25. He denies pain when asked.
During the assessment the nurse has difficulty locating an apical pulse. What action should the nurse take? **pt experiencing hypovolemic shock*** - ANSWER-Begin IV fluids
A client is brought to the urgent care center with partial- thickness and full-thickness burns. Which immediate nursing intervention are appropriate for this client? (select all that apply)
- ANSWER-Administer oxygen 1 / 4
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Begin IV infusion of lactated ringers Administer tetanus injection Administer pain medication
The nurse is conducting a focused assessment of the gastrointestinal system of a client with a burn injury. The nurse
should assess the client for: - ANSWER-Curlings ulcer
Which of the following clients with burns would most likely require an endotracheal or tracheostomy tube? - ANSWER- Thermal burns to the head, face and airway resulting in hypoxia
A client has a burn encircling the left thigh from a motorcycle accident. When the nurse enters the room during rounds, the client appears anxious and reports a funny feeling in the left foot. What should the nurse do first? - ANSWER-Check the circulatory status in the foot and report changes
A client is having a surgical procedure done to promote peripheral tissue perfusion in an extremity with full-thickness circumferential burns. What term should the nurse use to document the procedure? - ANSWER-Escharotomy
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The nurse is caring for a client with severe burns who is receiving fluid resuscitation. Which of the following parameters indicate that the client is responding to the fluid resuscitation? - ANSWER-Urine output of 30mL/hr
The nurse is assessing an 80-year-old client who has scald burns on the hands and both forearms. The percentage of burn areas less than 5%. What should the nurse do first? - ANSWER-Clean the wounds with tepid water
A parent of a child with a full-thickness burn asked why the nurse keeps spreading the white cream on the child's burns. The nurse explains that the cream is mafenide (Sulfamylon) which is being applied to the burn area for which reason? - ANSWER- Topical antibiotic that inhibits infection
A client returns from the operating room with a partial-thickness skin graft on the left arm. The donor tissue was taken from the left hip. In planning immediate postoperative care, which intervention should the nurse include? (select all that apply) - ANSWER-Elevate the left arm and provide complete rest of grafted area Administer pain medication every 4 hours as ordered for pain at donor site 3 / 4
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Monitor pulse in left arm every 4 hours
A nurse is evaluating nutrition for burn client. Which statement best describes nutritional needs? - ANSWER-Hypermetabolic state after a burn injury leads to poor healing
A nurse is reviewing the lab results of a client who was burned 24 hours ago. Which laboratory results should the nurse report immediately to the health care provider? - ANSWER-Serum potassium of 6.6 **almost fatal level**
Which statement made by the client with facial burns who has be prescribed to wear a facial mask pressure garment indicates correct understanding of the purpose for this treatment? - ANSWER-"My facial scars should be less severe with the use of this mask."
What statement by the client indicates the need for further discussion regarding the outcome of allografting? - ANSWER- "Because the graft is my own skin, there is no chance it won't take." (incorrect statement)
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