A patient, age 27, sustained thermal burns to 18% of her body surface area. After the first 72 hours, the nurse will have to observe for the most common cause of burn-related deaths, which is
a. shock.
b. respiratory arrest.
c. hemorrhage.
d. infection.
D
Infection is the most common complication and cause of death after the first 72 hours.
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The nurse is caring for a client with genital herpes. What should the nurse do to prevent contracting the infection from the client? (Select all that apply.)
1. Wash hands 2. Wear gloves 3. Apply a mask 4. Wear a face shield 5. Take prophylactic penicillin
A newborn is suspected of having fetal alcohol syndrome. Which of the following would the nurse expect to find?
A) Bradypnea B) Hydrocephaly C) Flattened maxilla D) Hypoactivity
The nurse would increase surveillance and prevention for pressure ulcer development in which at-risk patients? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. A 70-year-old patient who has been living at home and has limited ability to obtain groceries 2. A 68-year-old patient whose assessment reveals a low body mass index 3. A 50-year-old patient who has developed urinary incontinence after hospitalization for cholecystectomy. 4. A 35-year-old patient who has diabetic neuropathy 5. A 29-year-old patient hospitalized for treatment of pregnancy-induced hypertension
The nurse knows that the client with a history of epilepsy might also have what nursing diagnosis?
1. Impaired gas exchange 2. Risk for injury 3. Chronic pain 4. Risk for infection