The nurse, assessing a patient admitted with a chemical burn, determines the patient is to be transferred to a burn center because of which of the following assessment findings?
1. patchy burn areas over torso estimated at 8% of total body surface area burned
2. burn areas over bilateral lower extremities, mix of superficial and superficial-partial thickness with total body area estimated at 6%
3. superficial burns over left shoulder, superficial-partial thickness of left arm with total body area estimated at 4.5%
4. chemical burn to right hip, perineum, and partial genitalia
4
Rationale: Criteria for transfer to a burn center include burns involving the genitalia, perineum, and major joints. The patient has a chemical burn to the right hip, which is a major joint. The perineum and part of the genitalia are also burned which would fulfill the criteria for transfer. The other burns and estimates would not necessitate a transfer to a burn center.
You might also like to view...
Which of the following assessment findings increases a client's risk for suicide ideation or behavior?
1. Age 59 2. Recently started a new job 3. Widowed for 6 months 4. Plays golf twice a week
A mother tells a psychiatric nurse that her 3-year-old son is in constant motion and is unable to sit still long enough to listen to a story or to watch TV. The mother asks the nurse if he could be "hyperactive"
What is the most appropriate nursing response? A) "I wouldn't worry about it." B) "It's certainly possible." C) "It's hard to tell with a 3-year-old child." D) "Why would you think that?"
Diseases that are spread through an arthropod to a susceptible host (e.g., malaria, Lyme disease) are said to be
1. Airborne. 2. Common source. 3. Vectorborne. 4. Vehicleborne.
A patient with a recent onset of nephrosclerosis has been taking an ACE inhibitor and a thiazide diuretic
The patient's initial blood pressure was 148/100 mm Hg. After 1 month of drug therapy, the patient's blood pressure is 130/90 mm Hg. The nurse will contact the provider to discuss: a. adding a calcium channel blocker to this patient's drug regimen. b. lowering doses of the antihypertensive medications. c. ordering a high potassium diet. d. adding spironolactone to the drug regimen.