The client comes into the emergency room in severe pain and reports that a boiling pot of hot water accidentally spilled on his lower legs. The assessment reveals blistered, mottled red skin, and both feet are edematous. Which depth of burn should the nurse document?
a) Superficial partial thickness.
b) Deep partial thickness.
c) Full thickness.
d) First degree.
Answer: a) Superficial partial thickness.
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The nurse is reviewing the nursing's agenda for health care reform. Which is a basic premise of this agenda?
a. There must be plans to decrease the costs of health care. b. Access to essential health care services needs to be limited. c. Health care services should be delivered primarily from major institutions. d. Physicians should carry a greater responsibility in informing the public about their health care needs.
The nurse anticipates that catecholamine release in shock may result in which of the following?
1. Hyperglycemia 2. Bradycardia 3. Pinpoint pupils 4. Thirst
Some nursing centers have special care units for persons with AD and other dementias. Which is correct?
a. These units have no other licensing or ac-creditation standards for such units. b. There is no additional staff training re-quired to work on these units. c. The person's rights are always protected. d. The health team reviews the person's need for the unit at least twice a year.
By knowing about variations in infants' blood count, nurses can explain to their clients that:
a. A somewhat lower than expected red blood cell count could be the result of delay in clamping the umbilical cord. b. The early high white blood cell (WBC) count is normal at birth and should decrease rapidly. c. Platelet counts are higher than in adults for a few months. d. Even a modest vitamin K deficiency means a problem with the ability of the blood to clot properly.