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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.
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Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema?
- A. Wool is the best fabric for the infant's clothing.'
- B. I should avoid laundry detergents with fragrances.'
- C. I put cotton gloves on the infant's hands.'
- D. The infant's fingernails are kept short.'
Correct Answer: A
Rationale: Wool can exacerbate eczema due to its allergy potential; cotton clothing is recommended instead.
What diagnosis does the nurse suspect?
- A. Tuberous sclerosis
- B. Eczema
- C. Psoriasis
- D. Systemic lupus erythematosus
Correct Answer: D
Rationale: A butterfly rash over the nose and cheeks is a classic sign of systemic lupus erythematosus.
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 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 nurse monitor for very closely in the burn victim?
- A. Increasing intracranial pressure
- B. Reduced urine output
- C. Eschar formation
- D. Fluid overload
Correct Answer: B
Rationale: Reduced urine output indicates altered renal function due to fluid shifts in severe burns, requiring close monitoring.