Nokea
Which is the greatest concern during the emergent phase of a burn injury?
- A. joint contractures
- B. Fluid overload
- C. hypovolemic shock.
- D. adrenal failure.
Correct Answer: C
Rationale: Hypovolemic shock is frequently lethal in the emergent period of a severe burn because of the transfer of fluids into the interstitial tissue from the circulating volume. Joint contractures and fluid overload occur during later phases of the burn injury. Adrenal failure is not associated with the emergent period of a severe burn.
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Which will the nurse examine when assessing a patient for tinea corporis?
- A. Soles of the feet
- B. Scalp
- C. Groin
- D. Abdomen
Correct Answer: D
Rationale: Tinea corporis is known as ringworm of the body. It occurs on parts of the body with little or no hair. Tinea pedis is a fungal infection of the feet. Tinea capitus is a fungal infection of the scalp. Tinea cruris is a fungal infection of the groin area.
A patient who has sustained a burn injury will undergo wound debridement. The nurse includes which explanation when explaining the purpose of burn wound debridement?
- A. To increase the effectiveness of the skin graft.
- B. Prevention of infection and promote healing.
- C. Promoting suppuration of the wound.
- D. Promoting movement in the affected area.
Correct Answer: B
Rationale: Débridement is the removal of damaged tissue and cellular debris from a wound or burn to prevent infection and to promote healing. Debridement does not increase the effectiveness of the skin graft, promote wound suppuration or movement.
Which instruction will the nurse give the patient taking isotretinoin to treat acne?
- A. Do not take acetaminophen when using this medication.
- B. This medication may cause dry skin or eczema to develop
- C. Wear heavy makeup to cover up the acne until this medication takes effect
- D. Stay away from school or your friends until this medication begins to take effect.
Correct Answer: B
Rationale: Isotretinoin may cause dry skin or eczema to develop. There is no reason to avoid acetaminophen when using this medication. Heavy makeup is not advised. The nurse should provide emotional support to the patient with acne so the patient can continue their lifestyle.
A patient, age 37, sustained partial- and full-thickness burns to 26% of the body surface area. When would the greatest fluid loss resulting from the burns occur?
- A. Within 12 hours after burn trauma
- B. 24 to 36 hours after burn trauma
- C. 36 to 48 hours after burn trauma
- D. 48 to 72 hours after burn trauma
Correct Answer: A
Rationale: In a burn injury, usually the greatest fluid loss occurs within the first 12 hours.
Which patient statement indicates that more teaching is needed regarding antibiotic therapy for the treatment of cellulitis?
- A. My skin is cleared up. I don't think I need the medication anymore.'
- B. Cellulitis can come back at any time.'
- C. If I had washed that scratch with soap and water, I probably would not have gotten cellulitis.'
- D. Cellulitis is contagious.'
Correct Answer: A
Rationale: The entire amount of antibiotic medication should be completed even if the symptoms have abated to ensure the eradication of the infectious agent. Cellulitis can return if untreated or undertreated. Washing wounds with soap and water can prevent many infections, but this is not related to the discussion of antibiotics. Cellulitis can spread, however this is not related to the discussion of antibiotics.