The nurse is caring for a client who has reported to the emergency department with a steam burn to the right forearm. The burn is pink and has small blisters. The burn is most likely:
A) first degree
B) second degree
C) third degree
D) fourth degree
Ans: B
Feedback:
Partial-thickness burns may be superficial or moderate to deep. A superficial partial-thickness burn (first degree; epidermal) is pinkish or red with no blistering; a mild sunburn is a good example. Moderate to deep partial-thickness burns (second degree; dermal or deep dermal) may be pink, red, pale ivory, or light yellow-brown. They are usually moist with blisters. Exposure to steam can cause this type of burn. A full-thickness burn (third degree) may vary from brown or black to cherry red or pearly white. Thrombosed vessels and blisters or bullae may be present. The full-thickness burn appears dry and leathery.
You might also like to view...
The nurse is planning patient teaching for a patient with end-stage renal disease who is scheduled for the creation of a fistula. The nurse would include which of the following in teaching the patient about the fistula?
A) A vein and an artery in your arm will be attached surgically. B) The arm should be immobilized for 4 to 6 weeks. C) One needle will be inserted into the fistula for each dialysis treatment. D) The fistula can be used immediately after the surgery for dialysis treatment.
Which drug groups are considered to be over-the-counter (OTC) drug groups? (Select all that apply.)
a. Herbal products b. Laxatives c. Antibiotics d. Antacids
The nurse is completing preoperative assessment on a male client who states, "I am allergic to codeine." Which intervention should the nurse implement first?
1. Apply an allergy bracelet on the client's wrist 2. Label the client's allergies on the front of the chair 3. Ask the client what happens when he takes codeine 4. Document the allergy on the medication administration record
Your incontinent patient has had diarrhea and soiled his bed. Before changing his linens, you should wear which of the following personal protective equipment?
A) Surgical mask and gloves B) Goggles and face shield C) Gloves and gown D) Gown and mask