The nurse estimates the extent of a burn using the rule of nines for a patient who has been admitted with deep partial-thickness burns of the anterior trunk, anterior left arm, entire left leg, and perineum. Using the Rule of Nines for calculation, 1. What percentage of the patient’s total body surface area (TBSA) has been injured? 2. And which specific type of intravenous fluids will be used for fluid resuscitation? 3. 1000 mL of intravenous fluids are to be administered over 15 minutes. At what rate would the pump be set?  You will provide (3) total answers for this question. 

The nurse is administering lactulose to a client with cirrhosis and hepatic encephalopathy. Which assessment finding indicates the medication is effective?

A nurse is caring for a client with elevated intracranial pressure following a hemorrhagic stroke. Which interventions should be included in the client’s plan of care? (Select all that apply.)

A client is admitted with complaints of polydipsia and polyuria. During the past 12 hours, the client has produced 4,500 mL of dilute urine. Which endocrine disorder should the nurse suspect? 

A nurse is assessing a client receiving treatment for syndrome of inappropriate antidiuretic hormone (SIADH). Which assessment finding indicates that the treatment has been effective?

A nurse is assessing a client with a goiter who is being evaluated for hyperthyroidism. Which nursing action is inappropriate?

A client is brought to the emergency department after sustaining extensive electrical burns while working on a high-voltage power line. The client is awake and has a patent airway. Which should the nurse implement first? 

A client with rheumatoid arthritis who has been taking methotrexate tells the nurse that she recently had a positive home pregnancy test. Which response by the nurse is most appropriate?

A nurse is caring for clients with Guillain-Barré syndrome and myasthenia gravis. Which assessment should receive the highest priority?

A nurse is participating in a mass-casualty incident using the triage system. Which client should receive a Red triage tag?