A patient has been admitted to a burn intensive care unit with extensive full-thickness burns over 25% of the body. What would be the nurse's priority concern about this patient?
A) Fluid status
B) Risk of infection
C) Body image
D) Level of pain
Ans: A
Feedback: During the early phase of burn care, the nurse is most concerned with fluid resuscitation, to correct large-volume fluid loss through the damaged skin. Infection, body image, and pain are significant areas of concern, but are less urgent than fluid status.
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The nurse assists and educates clients on the difference between nonspecific and specific immunity. Which would be the best description by the nurse to the clients about humoral immunity?
1 . Destruction of antigens by antibodies 2 . Destruction of antigens by T cells 3 . Exposure to disease-causing organisms over one's lifetime 4 . Protects the body against circulating disease producing antigens and bacteria A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4
Because an intervention is required to control a patient's aggressive behavior, a critical incident debriefing takes place. Which topics are the primary focuses of the discussion? Select all that apply
a. Patient behavior associated with the incident b. Genetic factors associated with aggression c. Intervention techniques used by staff d. Effect of environmental factors e. Review of theories of aggression
Massage therapy relieves pain by closing the pain gate with the stimulation which fibers?
a. A? b. A? c. B d. C
The nurse is talking with a woman who is worried that her mother has Alzheimer's disease. The nurse knows that the first sign of dementia
a. is disorientation to person, place, or time. b. memory loss that is more than ordinary forgetfulness. c. inability to perform self-care tasks without assistance. d. variable with different people.