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The nurse assesses a major burn as a full-thickness burn involving __% or more of the body surface.
Correct Answer: 10
Rationale: A full-thickness burn involving 10% or more of the body surface is classified as a major burn.
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What would the nurse teach parents to do in order to avoid diaper rash?
- A. Use ointments.
- B. Keep perineum covered at all times.
- C. Use disposable diapers.
- D. Avoid plastic bloomers or pants.
- E. Change diaper frequently.
Correct Answer: A,C,D,E
Rationale: Using ointments, disposable diapers, avoiding plastic pants, and frequent diaper changes prevent diaper rash by keeping the skin dry and protected.
What should the school nurse caution them to avoid?
- A. Citrus fruit and juice
- B. Eating shellfish
- C. Alcohol consumption
- D. Taking corticosteroids
Correct Answer: C
Rationale: Alcohol consumption with griseofulvin can cause severe tachycardia, so it should be avoided.
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.
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.
With what is this symptom associated?
- A. Scabies
- B. Pediculosis capitis
- C. Tinea corporis
- D. Eczema
Correct Answer: A
Rationale: Intense itching, especially at night in the axilla and between fingers, is characteristic of scabies.