You suspect that A.N. has sustained deep partial-thickness burns. Which best describes this
type of burn?
a. The skin is blackened; the charred skin is numb.
b. The wounds are red, blanch, and have accompanying edema.
b. The skin is mixed red to waxy white, moist, has blisters and is painful.
c. The wounds have severe edema, pain may or may not be present, and the color varies.
c
In a deep partial-thickness burn, the skin is mixed red or waxy white, is wet or moist, and may
have blisters. These burns are very painful. Some areas of redness may turn white when pressure
is applied. This may return to red slowly or not at all when the pressure is removed. In third-degree
burns, the skin may be brown, white, or blackened. Pain is diminished because of nerve destruction.
In a superficial partial thickness burn, the skin is red, moist, and very painful to the touch. The burn
may be accompanied by edema. Skin may blister and peel after 24 hours.
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Which of these terms is used when goals are not met or interventions are not performed within the established time frame while using a critical pathway?
a. critical events c. incident reports b. exception charting d. variances
A nurse is caring for a client with multiple myeloma. What nursing care measure should
be employed when caring for the client? A) Instruct the client to avoid lifting heavy weights B) Avoid the use of a brace for providing support to the client C) Watch the client for enlarged lymph nodes D) Monitor the client for a decrease in the blood calcium level
The nurse is aware that a sense of powerlessness is related to loss of control. The nurse can help reduce this perception by ____________________. (Select all that apply.)
a. allowing the patient to make choices whenever possible. b. encouraging the patient to perform self-care. c. respecting the patient's right to refuse treatment. d. explaining all procedures ahead of time. e. adapting the environment to enhance self-care.
What are characteristics of insulin glargine (Lantus)? (Select all that apply.)
a. It has no peak action time. b. It has a duration of 24 hours. c. It cannot be mixed with other insulins. d. It is not injectable. e. It can be inhaled.