Xtra Crispy
A client with a severe electrical burn injury is treated in the burn unit. Which laboratory result would cause the nurse the most concern?
K+: 5.0 mEq/L
Ca: 9 mg/dL
BUN: 28 mg/dL
Na+: 145 mEq/L
elevated BUN d/t possible renal failure
Which of the following is the most common cause of hair loss?
Chemotherapy
Nutritional deficiency
Radiation
Male pattern baldness
Male pattern baldness
Which is the primary preventable cause of skin cancer?
exposure to UV radiation
Which complication is common for victims of electrical burns?
Inhalation injury
Infection
Cardiac dysrhythmia
Hypovolemic shock
Cardiac dysrhythmia
Production of melanin is controlled by a hormone secreted by which of the following?
Thyroid
Hypothalamus
Adrenal
Parathyroid
Hypothalamus
Which of the following information regarding the transmission of lice would the nurse identify as a myth?
MYTH: Lice can jump from one individual to another
The nurse cares for a client with superficial partial-thickness burn injuries to the lower extremities. The client is ordered IV morphine for pain. The nurse understands opioids are given via IV during the initial management of pain because
the client can experience nausea and emesis when given oral medications.
pain resulting from a burn injury requires relief by the fastest route available.
bleeding may occur at injection sites when the intramuscular route is used.
tissue edema may interfere with drug absorption via other routes.
tissue edema may interfere with drug absorption via other routes.
A client diagnosed with Addison’s disease would be expected to have which of the following skin pigmentations?
Bronze
Yellow
Orange-green
Gray
Bronze
While examining a client's leg, a nurse notes an open ulceration with visible granulation tissue in the wound. Until a wound specialist can be contacted, which type of dressing should the nurse apply?
Moist sterile saline dressings
A client has been burned significantly in a workplace accident. Which conditions create the need for immediate intensive care by specifically trained personnel? Select all that apply.
Wound care
Nutritional support
Fluid loss
Fluid shift
Hypotension
Fluid shift, fluid loss, and hypotension
The nurse is applying a cold towel to a client’s neck to reduce body heat. How does the nurse understand that the heat is reduced?
Conduction
Evaporation
Radiation
Convection
Conduction
A client seeks medical attention for a new skin condition. Which finding indicates to the nurse that the client is experiencing contact dermatitis? Select all that apply.
Contact dermatitis is an inflammatory reaction of the skin to physical, chemical, or biological agents. The epidermis is damaged by repeated physical and chemical irritations. The eruptions begin when the causative agent contacts the skin. The first reactions include pruritis and burning. Later reactions include papules and vesicles. Silvery scales are associated with psoriasis.
A client has burns to their anterior trunk and left arm. Using the Rule of the Nines, what is the TBSA burned?
18%
27%
36%
45%
The TBSA would be 27%. That is 18% of the body surface for the anterior trunk and 9% for the left arm.
Assessment of a client's leg reveals the presence of a 1.5-cm circular region of necrotic tissue that is deeper than the epidermis. The nurse should document the presence of what type of skin lesion?
Keloid
Fissure
Ulcer
Erosion
Ulcer
A nurse educator is teaching a group of medical nurses about Kaposi sarcoma (KS). What would the educator identify as characteristics of endemic KS? Select all that apply.
Endemic KS affects people predominantly in the eastern half of Africa, near the equator. Males are affected more often than females, and children can be affected as well. The disease may resemble classic KS or it may infiltrate and progress to lymphadenopathic forms.