If a patient is seriously burned and the muscle tissue is visible, the patient has a _____ burn.
a. first-degree
b. second-degree
c. third-degree
d. nonthermal
Ans: c. third-degree
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The patient, diagnosed with angina, tells the nurse he is having chest pain. There is an order for oral sublingual nitroglycerin as needed. What action should the nurse take?
A) Place two nitroglycerin tablets under the patient's tongue and call the physician. B) Place one tablet under the patient's tongue and repeat every 5 minutes for total of three tablets until pain has been relieved. C) Have the patient swallow a tablet with a full glass of water and repeat in 10 minutes. D) Apply a nitroglycerin transdermal patch to the patient's back.
The nurse discovers that an infusion is failing to infuse properly. Select all the items that should be checked: (Select all that apply.)
1. IV pole height 2. IV site for infiltration 3. Whether tubing is bent 4. Position of needle
Which of the following women is at greatest risk of developing a postpartum hemorrhage?
a. 18-year-old G1P1 with a history of gestational diabetes b. 30-year-old G4P4 who delivered a 9 lb 7 oz baby c. 25-year-old G2P2 who had a 12-hour labor d. 22-year-old G1P1 with a first-degree episi-otomy
The client is being treated extensively with silver nitrate cream. The nurse plans to closely monitor the client's level of:
a. calcium. b. sodium. c. potassium. d. magnesium.