A nurse working at a burn center is caring for a client with an electrical burn. According to the American Burn Association, how would this burn be classified?
A) Minor
B) Moderate
C) Major
D) Significant
Answer: C
According to the American Burn Association, all electrical burns are classified as major. Significant is not a classification according to the American Burn Association, and all other choices are incorrect.
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A unit manager watches a new RN graduate interacting with a patient. When the RN comes out of the room, the unit manager says, "I don't know what they taught you in your nursing program, but if I see you do that again, I will write you up
" This example demonstrates: a. Coercive use of power. b. Appropriate application of control. c. Use of informatory power. d. Use of power to provide coaching.
A patient with protruding lumbar disks is scheduled for a laminectomy. What should the nurse instruct the patient about this surgery?
Select all that apply. 1. The surgery will relieve pressure on the nerves. 2. A hollow titanium cylinder will be placed over the spine. 3. The spaces where the spinal nerves exit the canal will be enlarged. 4. The bony arch on the surface of the vertebra will be removed. 5. Wedge-shaped pieces of bone will be inserted between the vertebrae.
A patient who has been taking lamivudine (Epivir) for 6 months reports reduced sensation in the fingers and toes. What is your best action?
a. Document the report as the only action. b. Hold the dose and notify the prescriber. c. Remind the patient to continue the drug as usual and take a multiple vitamin daily. d. Reassure the patient that this is an expected drug side effect and to use injury precautions.
Your client has the diagnosis Ineffective health maintenance. Your nursing interventions will include which of the following?
1. providing health education and counseling for prevention of health risks 2. encouraging the client's family to demand that the client change the high-risk behavior 3. giving the client health information about the dangers associated with the high-risk behavior 4. encouraging the client to attend a support group to receive support for changing the high-risk behavior