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A 28-year-old female is 6 months post-severe facial and neck…

A 28-year-old female is 6 months post-severe facial and neck burns. She is in the rehabilitation phase wearing pressure garments. She tells the nurse, I am sorry that I am still alive. My life will never be normal again. Which response by the nurse is most therapeutic?

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A patient presents with frostbitten fingers that are white,…

A patient presents with frostbitten fingers that are white, hard, and insensitive to touch. Which intervention is appropriate?

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A patient with Pneumocystis jiroveci pneumonia (PCP) and a C…

A patient with Pneumocystis jiroveci pneumonia (PCP) and a CD4+ count of less than 200 cells/uL. Which interpretation is correct?

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The method of treatment for a client’s burns is the exposure…

The method of treatment for a client’s burns is the exposure method with mafenide (Sulfamylon) BID. When applying this medication, the nurse should plan to:

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A 35-year-old female patient has a new prescription for isot…

A 35-year-old female patient has a new prescription for isotretinoin. Which additional assessment information will be most important for the nurse to obtain?

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The nurse notes darker skin pigmentation in the skinfolds of…

The nurse notes darker skin pigmentation in the skinfolds of a middle-aged patient who has a BMI of 40 kg/m2. Which action would the nurse take?

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During a skin assessment, the nurse performs a blanching tes…

During a skin assessment, the nurse performs a blanching test on a red lesion. The lesion does not blanch when pressed. This finding indicates:

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A 35-year-old male weighing 92 kg is brought to the ED after…

A 35-year-old male weighing 92 kg is brought to the ED after being pulled from a house fire. He has deep partial-thickness burns to the anterior trunk (18%), posterior trunk (18%), and entire right leg (18%). He is confused with singed nasal hair and carbonaceous sputum. His SpO2 reads 98%. Eight hours after admission, the patient’s urine output over the past 2 hours is 41 mL total. The nurse should:

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The charge nurse observes the following actions by a new nur…

The charge nurse observes the following actions by a new nurse on the burn unit. Which action requires immediate intervention?

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A 32-year-old male presents to the HIV clinic for a follow-u…

A 32-year-old male presents to the HIV clinic for a follow-up appointment. He was diagnosed with HIV 2 years ago and has been on ART with tenofovir AF/emtricitabine/bictegravir (Biktarvy). His current CD4+ count is 620 cells/uL and his viral load is undetectable. He tells the nurse, Since my viral load is undetectable, I think I can stop taking my medication. He also reports that he recently started taking St. John’s Wort for mild depression and asks if he still needs to use condoms with his partner. Which patient statement requires the most immediate nursing intervention?

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