The nurse is caring for a patient with a burn injury. Which of the following examinations would provide the nurse with the most accurate information about the type of burn?
a. red, dry, painful skin with no blisters
b. red, blistery, painful skin with serous exudate
c. leathery, dry, hard, painless skin
d. leathery, dry, hard, painless skin with exposed and damaged muscle and bone
C
A burn that is red, dry, and painful without blisters describes a superficial thickness burn. An example is a sunburn. Serous exudate from a red, blistery wound that is painful describes a superficial, partial thickness burn. A burn that has leathery, dry, and hard skin that is painless describes a deep, partial thickness burn. Leathery, dry, hard, painless skin with exposed and damaged muscle and bone is a description of a full thickness burn.
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The intrinsic coagulation pathway is activated when
a. local blood vessels constrict at the injury site. b. damaged endothelium comes into contact with circulating blood. c. tissue factor is released by injured cells. d. fibrinogen is converted to fibrin.
The home health nurse helps an older adult couple plan changes in their home that will facilitate care in their home as they age. The nurse recognizes that what percentage of people over 65 live at home?
a. 42% b. 48% c. 55% d. 67%
A client with colon cancer is discharged to home with morphine for pain management. He is having episodes of nausea and vomiting. Which route of morphine administration would be most advantageous to use?
a. Oral b. Rectal c. Intravenous d. Intramuscular
The treatment of chronic fluid collections in the middle ear that take more than 3 or 4 months to resolve are treated with antibiotics or which of the following procedures?
a. adenoidectomy c. placement of tubes b. tonsillectomy d. packing the ears