A patient has burns on both legs and in the genital/perineum area. What is this patient's percentage of burned area?
a. 18%
b. 19%
c. 37%
d. 54%
ANS: C
Each leg is 18%, and the perineum is 1%, equaling 37%. A. B. D. These are inaccurate calculations for the percentage of body surface area burned.
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At 4:45 p.m., a nurse assesses a client with diabetes mellitus who is recovering from an abdominal hysterectomy 2 days ago. The nurse notes that the client is confused and diaphoretic. The nurse reviews the assessment data provided in the chart below:
Capillary Blood Glucose Testing (AC/HS) Dietary Intake At 0630: 95 At 1130: 70 At 1630: 47 Breakfast: 10% eaten - client states she is not hungry Lunch: 5% eaten - client is nauseous; vomits once After reviewing the client's assessment data, which action is appropriate at this time? a. Assess the client's oxygen saturation level and administer oxygen. b. Reorient the client and apply a cool washcloth to the client's forehead. c. Administer dextrose 50% intravenously and reassess the client. d. Provide a glass of orange juice and encourage the client to eat dinner.
The nurse instructing a patient in the use combined oral contraceptives knows that additional teaching is required when the patient makes the statement, "Taking combined oral contraceptives will give me a:
1. "Lower risk for breast cancer.". 2. "Higher risk for cervical cancer.". 3. "Lower risk for ovarian cancer.". 4. "Higher risk for uterine cancer.".
A patient with insomnia also has liver disease. What precaution does the nurse include in this patient's care plan?
a. Monitor carefully for increased side effects and adverse effects. b. Teach the patient that a higher dose is needed for effective action. c. Check the patient's electrolytes before administering the drug. d. Assess the patient's mental status every four hours.
The nurse is planning care for a client who has limited bed mobility. What instruction should be given to the assistive personnel who will be caring for this client?
1. Place a turn sheet on the bed. 2. Always use two personnel to move the client. 3. Stand at the head of the bed to pull the client up. 4. Slide the client toward the head of the bed. 5. Encourage the client to assist as possible.