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NCLEX10000IntegumentaryDisorders Questions&Answers 1.Whenassessingaclientwithpartial-thicknessburnsover60%ofthebody, whichfindingshouldthenursereportimmediately?a)Complaintsofintensethirst b)Moderatetoseverepain c)Hoarsenessofthevoice d)Urineoutputof70mlthefirsthour AnswerHoarsenessofthevoiceCorrect Explanation Hoarsenessisindicativeofinjurytotherespiratorysystemandcouldindicatethe needforimmediateintubation 2.Whatistheprimarygoalofnursingcareduringtheemergentphaseaftera NCLEX 10000 Integumentary Disorders (NCLEX) Questions & Answe... file:///C:/Users/HP/Desktop/New%20folder/NCLEX%2010000%20Int...

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burninjury?a)Promotewoundhealing.b)Replacelostfluids.c)Controlpain.d)Preventinfection.AnswerReplacelostfluids.Correct Explanation Duringtheemergentphaseofburncare,oneofthemostsignificantproblemsis hypovolemicshock.Thedevelopmentofhypovolemicshockcanleadtoimpaired bloodflowthroughtheheartandkidneys,resultingindecreasedcardiacoutputand renalischemia.Effortsaredirectedtowardreplacinglostfluidsandpreventing hypovolemicshock.

3.Thenurseisevaluatingtheclient'sriskforhavingapressuresore.Whichis thebestindicatorofriskfortheclient'sdevelopingapressuresore?a)nutritionalstatus b)orientationstatus NCLEX 10000 Integumentary Disorders (NCLEX) Questions & Answe... file:///C:/Users/HP/Desktop/New%20folder/NCLEX%2010000%20Int...

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c)circulatorystatus d)mobilitystatus AnswermobilitystatusCorrect Explanation Theclient'smobilitystatusisthebestindicatorofriskfordevelopmentofapressure sore.

4.Achildisbroughttotheemergencydepartmentwithafull-thicknessburn involvingtheepidermis,dermis,andunderlyingsubcutaneoustissue,butdoes notreportpainatthistime.Whichofthefollowingstatementsbythe NCLEX 10000 Integumentary Disorders (NCLEX) Questions & Answe... file:///C:/Users/HP/Desktop/New%20folder/NCLEX%2010000%20Int...

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nursearecorrectaboutthistypeofburn?Selectallthatapply.a)Thisisasevereburnandnerveendingshavebeendestroyed.b)Rehabilitationandskingraftingwillbenecessary.c)Painmedicationhasbeenadministeredorallyandwaseffective.d)Thisisasuperficialburn,sonopainispresent.e)Thechildmustbemonitoredforsignsoffluidshift Answer•Thisisasevereburnandnerveendingshavebeendestroyed.•Thechildmustbemonitoredforsignsoffluidshift.•Rehabilitationandskingraftingwillbenecessary.Correct Explanation Thisisanexampleofathird-degreeburn,whichisveryserious.Thischildmustbe carefullymonitoredforcomplications.Thefactthatthereisnopainisduetothe destructionofthenerveendings.Fluidshiftcanoccurandresultinshock.Aburnofthis degreewillalsorequirealongrehabilitationwithskingrafting.

5.Aclientisrecoveringfromaninfectedabdominalwound.Whichfoods NCLEX 10000 Integumentary Disorders (NCLEX) Questions & Answe... file:///C:/Users/HP/Desktop/New%20folder/NCLEX%2010000%20Int...

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