The nurse is assessing the extent of burn injuries on the victims of a house fire. Which of the following patients would need to be transferred to a burn center for additional care and treatment?
1. 10-year-old child with burns to the face, hands, and anterior chest
2. 15-year-old child with 5% total body surface area burns to the left arm
3. 30-year old-female with superficial burns to the arms, face, and neck
4. 35-year old-male with superficial burns to the arms, anterior hands, and feet
1
Rationale: The 10-year-old child with burns to the face, hands, and anterior chest would fulfill the burn center referral criteria for transfer to a burn center because the child has burns to the face and hands. The child with 5% total body surface burn to the left arm would not need to be transferred to the burn center since the total body surface area is less than 10%. The two adult patients have superficial burns and would not need to be admitted to the burn center.
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A client has been admitted after sustaining a humerus fracture that occurred when picking up the family cat. What test result would the nurse correlate to this condition?
a. Bence-Jones protein in urine b. Epstein-Barr virus: positive c. Hemoglobin: 18 mg/dL d. Red blood cell count: 8.2/mm3
The manager has just terminated a nurse. What statement by the manager is appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "You may go back to the unit to say good-bye to your coworkers." 2. "We have cleaned out your locker and have your personal belongings ready for you." 3. "I have notified security to escort you as you leave the building." 4. "As of this time, you are no longer an employee of this institution." 5. "Please do not discuss your termination with any other nurses."
The nurse is preparing to percuss the lower lobes of a client's lungs. The percussion technique appropriate for this body area would be:
1. direct percussion. 2. blunt percussion. 3. indirect percussion. 4. any of the percussion techniques.
The nurse is teaching the client about the risk of infection after delivery. Which action should the nurse teach the client to perform to prevent the development of postpartum endometritis?
A. Void every two hours. B. Change peri-pads frequently. C. Avoid over-hydration. D. Report symptoms of uterine cramping.