While exiting a burning building, a patient's eyebrows and lashes were burned. The nurse recognizes that this patient might experience:
1. wound infections.
2. fluid and electrolyte imbalance.
3. foreign bodies in the eyes.
4. itchiness as the hair grows back.
Correct Answer: 3
The eyebrows shade the eyes and prevent perspiration from entering the eyes. When stimulated, the eyelashes cause the blink reflex, which serves to protect the eyes from foreign bodies. The lack of eyelashes and eyebrows would not increase risk of wound infection or lead to fluid and electrolyte imbalance. Some discomfort might be experienced as the hair grows back, but this is a minor concern compared to another possibility.
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Standard precautions were designed to protect health care workers from occupational exposure to pathogens. Standard precautions includes all the following except
A) Limit movement of patient out of the room. B) Wash hands after touching blood, body fluids, secretions, excretions, and contaminated items. C) Wear mask, eye protection, or face shield during procedures and care activities that are likely to generate splashes or sprays of blood or body fluids. D) Handle, transport, and process linen soiled with blood and body fluids, excretions, and secretions in a manner that prevents skin and mucous membrane exposures, contamination of clothing, and transfer of microorganisms.
The nurse monitors an infant diagnosed with Nezelof's syndrome for which commonly associated condition?
A) Infections B) Thrombocytopenia C) Thymus gland failure D) Tinnitus
During a well-baby visit, the nurse measures the height and weight of an infant and plots the measurements on the baby's growth chart. The nurse notes a slowed growth pattern
Which of the following would be an appropriate action for the nurse to take? 1. Obtain an endocrinologist referral. 2. Perform a nutritional assessment. 3. Wait until the next visit to intervene. 4. Assess for circulatory problems.
A client who abuses alcohol has been placed on naltrexone (Trexan). What information should be included in the client education about the effects of this medication?
A) If alcohol is ingested, the client will feel less "high.". B) The client needs to avoid use of over-the-counter products that contain alcohol. C) If alcohol is ingested, the client may experience a lethal reaction. D) The client may discontinue the naltrexone use in alcohol abuse treatment.