The nurse is aware that the characteristics of a full-thickness burn include: (Select all that apply.)
a. Leathery appearance
b. Bright red color at the burn site
c. Necessitates debridement
d. Destroys on the dermis
e. Pain only at the edges of the burn
A, C, E
Full-thickness burns have a tan or dark red leathery appearance that will require debridement and skin grafting. The pain is felt at the edges of the burn where the cutaneous nerves are still intact.
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A patient has been administered an opioid. For which of the following effects should the patient be assessed?
A) Oliguria B) Decreased level of consciousness C) Edema D) Tachycardia
A woman was bound, taken to a remote location, and raped at gunpoint. When found, she was examined and treated in the emergency department. Which aspect of this crisis produced the greatest amount of psychological trauma?
a. The threat to her life b. Collection of evidence c. Physical pain experienced d. Being in a remote location
What is the term used to describe a pharmaceutical agent that relieves pain?
A) antacid B) antihistamine C) analgesic D) antibiotic
A client who is Chinese-American has just died on the unit. The nurse is prepared to provide after-death care to the client and anticipates that the probable preferences of a family from this cultural background will include:
A. Pastoral care B. Preparation for organ donation C. Time for the family to bathe the client D. Preparation for quick removal from the hospital