A patient is admitted with second- and third-degree burns covering the face, entire right upper extremity, and the right anterior trunk area. Using the rule of nines, what should the nurse calculate the extent of these burns as being?
a. 18%
b. 22.5%
c. 27%
d. 36%
Ans: b. 22.5%
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MC Proper application of a back brace includes
A. Maintaining it in place 24 hours a day. B. Applying it with client supine. C. Applying it over clothing. D. Applying it with the client standing.
Determination of oxygenation status by oxygen saturation alone is inadequate. What other value must be known?
a. pH c. HCO3– b. PaCO2 d. Hemoglobin (Hgb)
A patient with a large inguinal hernia has abdominal distention and inguinal pain. The nurse recognizes these as indicators of which type of hernia?
a. Strangulated b. Hiatal c. Ventral d. Umbilical
A patient being admitted with bacterial meningitis has a temperature of 102.5° F (39.2° C) and a severe headache. Which order for collaborative intervention should the nurse implement first?
a. Administer ceftizoxime (Cefizox) 1 g IV. b. Give acetaminophen (Tylenol) 650 mg PO. c. Use a cooling blanket to lower tempera-ture. d. Swab the nasopharyngeal mucosa for cul-tures.