Nokea
The nurse assesses the total body surface area (TBSA) percentage burn as __%.
Correct Answer: 26
Rationale: For a 5-year-old, the TBSA burn is calculated as 26% based on the Burn Size Estimation Table (upper/lower arm 5.5%, hand 2.5%, anterior trunk 13%, genital area 1%, half thigh 4%).
You may also like to solve these questions
What does the nurse explain as the most likely cause of this rash?
- A. Sun exposure
- B. Allergic reaction
- C. Infection
- D. Heat and moisture
Correct Answer: D
Rationale: Miliaria (prickly heat rash) is caused by excess heat and moisture, leading to pinhead-sized red papules.
What should the nurse keep in mind when providing care to the school-age child hospitalized with a burn injury?
- A. Hospitalization will be brief.
- B. Analgesics should be given immediately after dressing changes.
- C. Contact with peers should be maintained.
- D. Parents usually handle injury worse than the child.
Correct Answer: C
Rationale: Maintaining peer contact supports the emotional well-being of a school-age child during prolonged burn-related hospitalization.
What should the nurse stress to the mother of a child with impetigo?
- A. The condition is caused by the herpes simplex virus type I.
- B. The crusts on the lesions should be left in place.
- C. The lesions may spread, but the disease is not contagious.
- D. Small cuts and bites should be treated promptly.
Correct Answer: D
Rationale: Prompt treatment of small cuts and bites prevents bacterial invasion causing impetigo, which is contagious.
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 term can be used for an elevated, fluid-filled blister?
- A. Pustule
- B. Papule
- C. Wheal
- D. Vesicle
Correct Answer: D
Rationale: A vesicle is an elevated, fluid-filled blister, such as in cold sores or chicken pox.