Nokea
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.
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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.
Which body parts should be warmed first?
- A. Hands and arms
- B. Feet and legs
- C. Fingers and toes
- D. Head and torso
Correct Answer: D
Rationale: Warming the head and torso first in severe frostbite prioritizes core body temperature stabilization.
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%).
Which allergy would contraindicate the use of silver sulfadiazine (Silvadene) as a topical agent for burns?
- A. Penicillin
- B. Iodine
- C. Tetanus immunizations
- D. Sulfa
Correct Answer: D
Rationale: Silver sulfadiazine is contraindicated in patients with sulfa allergies due to potential adverse reactions.