Nokea
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.
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The nurse is careful to apply only the prescribed amount of ointment to the skin of a 2-month-old infant. How is infant skin different from adult skin?
- A. Less perfusion
- B. Greater moisture
- C. More perspiration
- D. Greater absorption
Correct Answer: D
Rationale: Infant skin has a greater ability to absorb topical medications compared to adult skin, requiring careful application.
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 will the nurse include when teaching about general skin care measures that could help prevent acne?
- A. Eliminating chocolate, peanuts, and cola from the diet
- B. Washing the face with a cleansing product frequently
- C. Planning indoor activities to avoid sun exposure
- D. Eating a balanced diet and getting sufficient rest
Correct Answer: D
Rationale: A balanced diet and sufficient rest promote overall skin health and help prevent acne exacerbations.
What risk is increased with children who have been diagnosed with infantile eczema?
- A. Pneumonia
- B. Acne
- C. Sun sensitivity
- D. Asthma
Correct Answer: D
Rationale: Children with infantile eczema are at increased risk for asthma and allergic conditions like hay fever.
What intervention(s) would the nurse preparing a teaching plan for the care of a child with infantile eczema include?
- A. Bathe the child using products with a light fragrance.
- B. Use oatmeal and baking soda as bath additives.
- C. Add bath oil to bath water after the child has soaked.
- D. Apply lanolin-based lotions after the bath.
- E. Bathe child several times a day.
Correct Answer: B,C
Rationale: Oatmeal and baking soda soothe eczema, and adding bath oil after soaking enhances effectiveness; fragranced products, lanolin, and frequent bathing are avoided.