A patient comes into the emergency department with severe burns over the face, arms, legs, and back after spending the day boating with friends. Which of the following would the nurse classify this patient's burn injuries?
1. superficial
2. superficial partial-thickness
3. deep partial-thickness
4. full-thickness
1
Rationale: Superficial burns involve the epidermis only and are associated with burns from the sun. Superficial partial-thickness burns involve the epidermis and papillary layer of the dermis and are caused by contact with hot objects, hot liquids, or flash flame. Deep partial-thickness burns involve the epidermis and the deep layer of the dermis. They are caused by contact with flame, hot liquids, tar, or hot objects. Full-thickness burns involve the epidermis, dermis, and subcutaneous tissue. These are caused by contact with flame, electricity, or chemicals.
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The school nurse is presenting a class on smoking cessation at the local high school. A participant in the class asks the nurse about the risk of lung cancer in those who smoke. What response related to risk for lung cancer in smokers is most accurate?
A) "The younger you are when you start smoking, the higher your risk of lung cancer." B) "The risk for lung cancer never decreases once you have smoked, which is why smokers need annual chest x-rays." C) "The risk for lung cancer is determined mostly by what type of cigarettes you smoke." D) "The risk for lung cancer depends primarily on the other risk factors for cancer that you have."
The nurse is planning a presentation for nursing staff on supporting the sexual needs of the long-term care residents. Which statement would the nurse include that best defines sexuality?
A) Any behavior involving the genital organs B) Identification with a socialized gender role C) Any physical interaction between two people D) Any behavior undertaken to attract a member of the opposite sex
A hospital is implementing a new electronic nurse charting system. When selecting members for the implementation committee, which colleague should be given priority?
A) Informatics nurse specialist B) Experienced consultant C) Planning committee chairperson D) Chief information officer
A client calls the fertility clinic to schedule a laparoscopy. The nurse instructs the client to:
1. Stay on bedrest 48 hours after the procedure. 2. Expect to have shoulder and arm pain. 3. Purchase a rectal tube to relieve the gas. 4. Lie on her back to relieve the gas pain.