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NO.1 One of the most reliable assessment tools for adequacy of fluid resuscitation in burned
children is:
A. Blood pressure
B. Skin turgor
C. Fluid intake
D. Level of consciousness
Answer: D
NCLEX-RN exam prep
Explanation:
(A)
Blood pressure can remain normotensive in a state of hypovolemia. (B) Capillary refill, alterations in
sensorium, and urine output are the most reliable indicators for assessing hydration. (C) Skin turgor is
not a reliable indicator for assessing hydration in a burn client.
(D)
Fluid intake does not indicate adequacy of fluid resuscitation in a burn client.
NO.2 A client states to his nurse that "I was told by the doctor not to take one of my drugs because
it seems to have caused decreasing blood cells." Based on this information, which drug might the
nurse expect to be discontinued?
A. Phenytoin (Dilantin)
B. Garamycin (Gentamicin)
C. Prednisone
D. Timolol maleate (Blocadren)
Answer: A
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Explanation:
(A) Prednisone is not linked with hematological side effects. (B) Timolol, a -adrenergic blocker is
metabolized by the liver. It has not been linked to blood dyscrasia. (C) Gentamicin is ototoxic and
nephrotoxic. (D) Phenytoin usage has been linked to blood dyscrasias such as aplastic anemia. The
drug most commonly linked to aplastic anemia is chloramphenicol (Chlormycetin).
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Last Update: 2016-07-17
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