The nursing care priorities for a patient with a burn injury include wound care, nutritional support, and prevention of complications such as infection
Based upon these care priorities, the patient is most likely in which of the following phases of burn care?
A) Emergent
B) Immediate resuscitative
C) Acute
D) Rehabilitation
Ans: C
Feedback: The acute phase of burn care extends from the beginning of diuresis to near completion of wound closure. Care priorities during the acute phase include wound care and closure, prevention or treatment of complications (including infection), and nutritional support. Priorities during the emergent or immediate resuscitative phase include first aid, prevention of shock and respiratory distress, detection and treatment of concomitant injuries, and initial wound assessment and care. The priorities during the rehabilitation phase include prevention of scars and contractures, rehabilitation, functional and cosmetic reconstruction, and psychosocial counseling.
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When planning an activity for a 3-year-old, the nurse bases the plan on the average attention span of _____ minutes
ANS:
A patient is suspicious and frequently manipulates others. To which psychosexual stage do these traits relate?
a. Oral b. Anal c. Phallic d. Genital
When determining which patient has the priority to be assessed first, the nurse should always evaluate the patient who is:
a. unstable c. on the ventilator b. having pain d. receiving blood