NCLEX National Council Licensure Examination - -RN NCLEX-RN Dumps in PDF

Free NCLEX NCLEX-RN Real Questions (page: 34)

The initial treatment for a client with a liquid chemical burn injury is to:

  1. Irrigate the area with neutralizing solutions
  2. Flush the exposed area with large amounts of water
  3. Inject calcium chloride into the burned area
  4. Apply lanolin ointment to the area

Answer(s): B

Explanation:

(A) In the past, neutralizing solutions were recommended, but presently there is concern that these solutions extend the depth of burn area. (B) The use of large amounts of water to flush the area is recommended for chemical burns. (C) Calcium chloride is not recommended therapy and would likely worsen the problem. (D) Lanolin is of no benefit in the initial treatment of a chemical injury and may actually extend a thermal injury.



A type I diabetic client is diagnosed with cellulitis in his right lower extremity. The nurse would expect which of the following to be present in relation to his blood sugar level?

  1. A normal blood sugar level
  2. A decreased blood sugar level
  3. An increased blood sugar level
  4. Fluctuating levels with a predawn increase

Answer(s): C

Explanation:

(A) Blood sugar levels increase when the body responds to stress and illness. (B) Blood sugar levels increase when the body responds to stress and illness. (C) Hyperglycemia occurs because glucose is produced as the body responds to the stress and illness of cellulitis. (D) Blood sugar levels remain elevated as long as the body responds to stress and illness.



A type I diabetic client is diagnosed with cellulitis in his right lower extremity. The nurse would expect which of the following to be present in relation to his blood sugar level?

  1. A normal blood sugar level
  2. A decreased blood sugar level
  3. An increased blood sugar level
  4. Fluctuating levels with a predawn increase

Answer(s): C

Explanation:

(A) Blood sugar levels increase when the body responds to stress and illness. (B) Blood sugar levels increase when the body responds to stress and illness. (C) Hyperglycemia occurs because glucose is produced as the body responds to the stress and illness of cellulitis. (D) Blood sugar levels remain elevated as long as the body responds to stress and illness.



Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible damage after submersion in water is the:

  1. Kidney (urinary system)
  2. Brain (nervous system)
  3. Heart (circulatory system)
  4. Lungs (respiratory system)

Answer(s): B

Explanation:

(A) The kidney can survive after 30 minutes of water submersion. (B) The cerebral neurons sustain irreversible damage after 4­6 minutes of water submersion. (C) The heart can survive up to 30 minutes of water submersion. (D) The lungs can survive up to 30 minutes of water submersion.



Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible damage after submersion in water is the:

  1. Kidney (urinary system)
  2. Brain (nervous system)
  3. Heart (circulatory system)
  4. Lungs (respiratory system)

Answer(s): B

Explanation:

(A) The kidney can survive after 30 minutes of water submersion. (B) The cerebral neurons sustain irreversible damage after 4­6 minutes of water submersion. (C) The heart can survive up to 30 minutes of water submersion. (D) The lungs can survive up to 30 minutes of water submersion.



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