The nurse in the emergency department is caring for a patient with a partial-thickness thermal burn. Which treatment should the nurse expect to be prescribed for this patient?
a. Application of wet dressings
b. Use of clean dressing technique
c. Application of moisturizing lotion
d. Application of silver sulfadiazine cream
ANS: D
Partial-thickness burns that involve a small area are cleaned with sterile saline solution, covered with a 1/8-inch layer of an anti-infective cream such as silver sulfadiazine (Silvadene, Flamazine), and covered with dry bulky, fluffed dressings. A. Because the skin can no longer protect the patient, wet dressings provide a medium for bacterial invasion. Wet dressings can also cause a decrease in body temperature because the skin can no longer maintain thermoregulation. B. Deep partial-thickness burns should be covered with dry dressings. C. Over-the-counter lotions are never used on a major burn because they can promote infection, retain heat, and cause more pain.
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A nurse and a patient are discussing the patient's wishes regarding resuscitation. The patient decides that resuscitated is not wanted under any circumstances. What action can the nurse take to identify the ethical issues of the situation?
a. Encourage the patient to discuss his wish-es with his family. b. Encourage the patient to change his mind. c. Coerce the patient into changing his mind by calling his physician to the bedside. d. Continue to treat the patient as a "full code.".
A patient is describing a very personal part of her history very quickly and in great detail. How should you react to this?
A) Write down as much as you can, as quickly as possible. B) Ask her to repeat key phrases or to pause at regular intervals, so you can get almost every word. C) Tell her that she can go over the notes later to make sure they are accurate. D) Push away from the keyboard or put down your pen and listen.
When managing shock, which statement would be incorrect when comparing the level or classification of shock to the drug treatment?
1. Class I–treated with blood products 2. Class II–treated with isotonic fluids 3. Class III–treated with isotonic fluids and blood products 4. Class IV–treated with blood and fluids
A client has been admitted with disorganized type schizophrenia. The nurse observes blunted af-fect and social isolation. He occasionally curses or calls another client a "jerk" without provoca-tion
The nurse asks the client how he is feeling, and he responds, "Everybody picks on me. They fro-bitz me." The nurse would assess "frobitz" as: 1. Circumstantial speech 2. Loose associations 3. Evidence of delusional thinking 4. A neologism