A client is being evaluated in the emergency department following a burn injury at home. The client has second- and third-degree burns to the right and left arms, back, and both posterior legs
Using the rule of nines, the nurse would calculate this client's burn as being:
1. 36%.
2. 45%.
3. 54%.
4. 63%.
3
The right and left arms are 18%, the back is 18%, and the posterior legs are 18%; this equals 54%. The other calculations are incorrect.
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An emergency department nurse is preparing to inspect and palpate the head and scalp of an older adult who experienced a fall. A member of which group would most likely consider this examination as a violation of norms?
A) Jewish B) Asian American C) Islamic D) African American
The nurse recognizes that an ongoing assessment will help set priorities in the nursing care plan of a long-term care resident. What does this allow the planning process to become?
a. Timely b. Patient-centered c. Preferential d. Categorized
The risk manager wants to evaluate the reasons for an increased number of falls on the rehab unit. The risk manager devises a fishbone diagram. A fishbone diagram is a useful tool to:
a. Identify the root causes of problems. b. List possible solutions to problems. c. Help leaders select the best options. d. Evaluate the outcomes of decisions made.
The nurse determines that a patient's body mass index (BMI) is 22 kg/m2. Based on this finding, what should the nurse conclude?
1. BMI should be between 19 and 25 kg/m2. The patient's weight is within a healthful range. 2. The patient needs to lose weight for optimum health. 3. The patient is mildly obese. 4. The patient's BMI is below normal.