The school nurse is caring for a teenager who developed sunburn after being out in the sun without sunscreen at a school trip. How would the nurse classify this type of burn?
A) Thermal
B) Electrical
C) Chemical
D) Radiation
D
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Radiation burns result from exposure to radioactive sources, such as the ionizing radiation used in industry, or therapeutic radiation; sunburns are another type of radiation burn. Thermal burns, the most common type of burn, are caused by steam, hot water scalds, flames, and direct contact with heat sources. Electrical burns are potentially life-threatening burns caused by electric shocks from exposure to the AC or DC current of electricity or lightning. Chemical burns are caused by exposure to strong acids, alkalis, or other substances such as detergents or solvents.
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A 2-day-old newborn is asleep, and the nurse assesses the apical pulse to be 88 bpm. What would be the most appropriate nursing action based on this assessment finding?
1. Call the physician. 2. Administer oxygen. 3. Document the finding. 4. Place newborn under the radiant warmer.
The nurse is performing a medication history on a patient who reports taking lorazepam (Ativan) for the past 6 months to treat an anxiety disorder. The patient states that the medication is not working as well as previously
The nurse will a. contact the provider to discuss changing to another benzodiazepine. b. notify the provider and discuss increasing the dose of lorazepam. c. suspect worsening of the anxiety disorder. d. understand that the patient has developed tolerance to this drug.
Regarding pain, all the following descriptors are applicable except:
A. Always subjective B. Always associated with actual tissue damage C. A sensory and emotional experience D. A primary reason patients seek medical advice E. Often undertreated
An apical pulse is checked
A. for one full minute. B. after the nurse gives a heart medication. C. on children 12 or younger. D. on patients over age 65.