The nurse is providing emergency care to patients injured in a house fire. Which patient would the nurse prepare for transfer to a burn center for additional care and treatment?
1. 15-year-old child with 5% total body surface area burns to the left arm
2. 10-year-old child with partial-thickness burns to the face and left hand
3. 30-year-old female with superficial burns to the arms and neck
4. 35-year-old male with partial-thickness burn to a part of his back
Answer: 2
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A 6-year-old boy has been admitted to the hospital with burns. The nurse notes black sputum. What is the priority nursing intervention?
A) Obtain a brief history. B) Elicit a description of the burn. C) Obtain an in-depth history. D) Obtain a brief history, evaluate the child, and provide emergency care.
Which of the following factors significantly contributes to the increase in heart rate that occurs during pregnancy?
A) Increase in overall weight B) Increase in cardiac volume C) Systolic murmurs D) All of the above
While caring for a newly admitted patient with fluid and electrolyte imbalances, a nurse would be most concerned by which of the following?
1. Urinary output of 300 mL in 8 hours 2. Blood pressure of 128/60 mm Hg 3. Lung fields with crackles noted bilaterally 4. Nausea
In which situations would a nurse have the duty to intervene and report? Select all that apply
a. A peer has difficulty writing measurable outcomes. b. A health care provider gives a telephone order for medication. c. A peer tries to provide patient care in an alcohol-impaired state. d. A team member violates relationship boundaries with a patient. e. A patient refuses medication prescribed by a licensed health care provider.