Using the rule of 9s, if a person has burns covering the posterior head, posterior trunk and both posterior thighs, the burns can be estimated at around ______ of total body surface area
a. 36%
b. 45%
c. 31.5%
d. 40.5%
c
According to the rule of 9s, the surface area of the posterior head is 4.5%, the posterior trunk is 18% and each leg
is 9% (therefore each thigh is 4.5%).
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A patient's CVP reading suddenly increased from 10 to 48 mm Hg. His lungs are clear except for fine rales at the bases. Immediate response should be which of the following?
a. Nothing; this reading is still within normal limits. b. Place a stat call into the physician. c. Administered ordered prn Lasix. d. Check the transducer level.
Physical illness may be preceded by stressful life situations.
Answer the following statement true (T) or false (F)
The nurse is assessing the patient with a pen light. The integrity of which cranial nerve is being evaluated?
a. Olfactory b. Vagus c. Oculomotor d. Trigeminal
One purpose of using standard formal nursing diagnoses in practice is to
a. Form a language that can be encoded only by nurses. b. Distinguish the nurse's role from the physician's role. c. Allow for the communication of patient needs to assistive personnel. d. Help nurses focus on the scope of medical practice.