A patient arrives at the emergency department with an electrical burn. What assessment questions should the nurse ask when determining the possible severity of the burn injury?
Select all that apply.
1. What type of current was involved?
2. How long was the patient in contact with the current?
3. How much voltage was involved?
4. Where was the patient when the burn occurred?
5. What was the point of contact with the current?
Correct Answer: 1, 2, 3
The severity of electrical burns depends on the type and duration of the current and the amount of voltage. Location and point of contact are not important in determining possible severity.
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The client is a 38-year-old female client who developed a pulmonary embolism and is currently in the Intensive Care Unit. The nurse in the Intensive Care Unit is interviewing the client and reviewing her history. Which of the following statements by the client or assessment findings are consistent with the client's increased risk for developing a pulmonary embolism? Standard Text: Select all that apply.
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The nurse is aware that the older adult is at greater risk for hypothermia than a younger person because the older adult has a diminished ability to:
a. convert glycogen to glucose. b. select appropriate clothing or bed linen. c. shiver. d. constrict vessels.