A child is admitted with extensive burns. The nurse notes that there are burns on the child's lips and singed nasal hairs. The nurse should suspect that the child has:
a. A chemical burn. c. An electrical burn.
b. An inhalation injury. d. A hot-water scald.
ANS: B
Evidence of an inhalation injury is burns of the face and lips, singed nasal hairs, and laryngeal edema. Clinical manifestation may be delayed for up to 24 hours. Chemical and electrical burns and those associated with hot-water scalds would not have singed nasal hair.
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A mother questions why it is important to list when her child sat up, began crawling, started walking, and was potty trained as she is bringing the toddler in because the child screams at night. The nurse explains to the mother that:
1. It is not normal for a young child to scream at night. 2. Children who scream at night have more difficulty with problem solving. 3. Children with mental disorders have difficulty with elimination at night. 4. A developmental history is part of assessing well-being of a child.
The nurse cares for children of all ages with a wide variety of illnesses and injuries. General consent or informed consent is required for care. Which of the following is the most important legal consideration?
A) Determining if the child is emancipated B) Establishing if the parents are competent C) Knowing the laws in the state where the care is being given D) Contacting the parents prior to emergency care
While talking with the students on the unit, the nursing instructor explains the goals of the PN. What is one goal the instructor might cite?
A) Improve nutritional status B) Maintain fluid balance C) Shorten hospital stay D) Establish negative nitrogen balance
A nurse who cares for older adults recognizes which of the following clinical features associated with dementia? (Select all that apply.)
a. Failing to remember his or her room number b. Becoming increasingly disoriented at night c. Working on jigsaw puzzles for hours at a time d. Often referring to a cup as a canyon e. Misunderstanding when told "it's raining cats and dogs"