Nokea
How does the nurse classify this burn when documenting?
- A. First-degree
- B. Second-degree superficial
- C. Second-degree deep dermal
- D. Third-degree
Correct Answer: B
Rationale: A second-degree superficial burn is characterized by pink, moist, blistered skin with pain, indicating tissue viability.
You may also like to solve these questions
Which complication does the nurse anticipate?
- A. Diverticulitis
- B. Stress diarrhea
- C. Curling's ulcer
- D. Perforated bowel
Correct Answer: C
Rationale: Curling's ulcer, a stress-related complication, is common in burn victims after prolonged ICU stays.
What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne?
- A. Get a prescription for oral contraceptives.
- B. Increase the dose of the present medication.
- C. Limit intake of chocolate, cola, and peanuts.
- D. Increase exposure to sunlight.
Correct Answer: A
Rationale: Isotretinoin poses a risk of birth defects, so oral contraceptives are recommended to prevent pregnancy during treatment.
What is the appropriate technique for the application of a topical treatment for a child with eczema?
- A. Apply skin lotions in a circular motion.
- B. Apply prescribed ointments with a gloved hand.
- C. Apply as much and as frequently as relieves the symptoms.
- D. Choose lanolin-based ointments.
Correct Answer: B
Rationale: Applying prescribed ointments with a gloved hand in long, smooth strokes prevents irritation and avoids lanolin-based products due to potential allergies.
What is the most appropriate nursing action?
- A. Report this sign immediately.
- B. Place a warm towel over the extremities.
- C. Gently sponge with cool water.
- D. Medicate for pain.
Correct Answer: D
Rationale: A purple flush in severe frostbite indicates returning sensation, causing pain that requires medication.
What is the nurse's first priority?
- A. Assess respiratory status.
- B. Administer pain medication.
- C. Remove clothing.
- D. Insert a Foley catheter.
Correct Answer: A
Rationale: Assessing respiratory status is the priority for facial and chest burns to ensure airway patency.