Management of full-thickness burns includes
a. daily wound care without premedication of narcotics because the pain fibers are destroyed.
b. daily wound care with premedication of narcotics.
c. weekly wound care until all eschar is debrided.
d. surgical skin grafting within 8 hours of admission.
B
Daily cleansing and inspection of the wound and unburned skin are performed to assess for signs of healing and local infection. Generally, this therapy is performed once or twice daily. Pain management and measures to reduce hypothermia are used. Patients should receive adequate premedication with analgesics, narcotics, or other sedatives.
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A nurse who provides care at a community clinic is in contact with a diverse group of patients. Which of the following individuals most clearly displays risk factors for stroke?
A) A man who is receiving oral antibiotics for the treatment of a chlamydial infection B) A woman who has osteoporosis, a history of fractures, and a family history of stroke C) An obese woman with a history of atrial fibrillation and type 2 diabetes D) A 70-year-old man who has benign prostatic hyperplasia and early stage Alzheimer's disease
The nurse explains that the primary purpose of the whirlpool bath given to the patient with a stage III pressure ulcer is to:
a. keep the patient clean. b. stimulate granulation tissue growth. c. improve circulation in surrounding skin. d. provide moisture to the ulcer.
The patient has just learned that he has advanced cancer for which there is no effective treatment. The patient says, "This can't be. I want a second opinion." According to Kubler-Ross, the patient is in which stage of dying?
a. denial c. bargaining b. anger d. depression
A patient taking stavudine (Zerit) telephones the clinic and reports numbness and tingling in the hands and feet. What should the nurse tell the patient?
a. The numbness is an expected side effect of the medication and will diminish. b. The medication will probably be stopped, and the patient should come into the clinic for further evaluation. c. The dose may be too high, and the patient should cut the tablet in half. d. The patient should take the medication on a full stomach to reduce absorption of the drug.