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Exam NCLEX-PN topic 3 question 21 discussion

Actual exam question from Test Prep's NCLEX-PN
Question #: 21
Topic #: 3
[All NCLEX-PN Questions]

When a client with a major burn experiences body image disturbance, which of the following is an appropriate nursing intervention classification?

  • A. grief work facilitation
  • B. vital signs monitoring
  • C. medication administration: skin
  • D. anxiety reduction
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Suggested Answer: A 🗳️
Grief work facilitation is a nursing intervention classification for disturbed body image in burn clients. The expected outcome is grief resolution. Vital signs monitoring is a nursing intervention classification for deficient fluid volume in clients with major burns. Medication administration: skin is a nursing intervention classification for impaired skin integrity for clients with major burns. Anxiety reduction is a nursing intervention classification for anxiety experienced by clients with major burns. Health Promotion and Maintenance

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