After the initial assessment of burn injuries it is determined that the patient will be transferred to a burn center for care
What assessment findings contributed to this decision? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Burns on the face
2. Burns on the hands
3. Burns to both hips
4. Burn to the perineum
5. Burns to the upper left arm and lower right leg
1,2,3,4
Rationale 1: Burn injuries that should be referred to a burn center include burns to the face.
Rationale 2: Burn injuries that should be referred to a burn center include burns to the hands.
Rationale 3: Burn injuries that should be referred to a burn center include burns to major joints.
Rationale 4: Burn injuries that should be referred to a burn center include burns to the perineum.
Rationale 5: These burn injuries would not necessitate the patient to be transferred to a burn center.
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When delegating to other health care providers, the nurse understands that the task: (Select all that apply.)
a. must be within the scope of the person to whom it is being delegated. b. is one that can be delegated to other health care providers. c. can be delegated whenever assessments are required. d. may be re-delegated by the person to whom it was first delegated. e. may require the nurse to procure resources to complete the task.
A nurse suspects that a postpartum patient has mastitis. Which data support this assessment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Shooting pain in her nipple during breastfeeding 2. Late onset of nipple pain 3. Pink, flaking, pruritic skin of the affected nipple 4. Nipple soreness when the infant latches on 5. Pain radiating to the underarm area from the breast.
Contact precautions always require the use of:
a. Gloves b. Masks c. Gowns d. Goggles
The nurse has admitted a patient to the unit who has been experiencing bowel problems. The patient is to receive a bowel preparation for a radiologic procedure
The nurse would anticipate administration of which of the following medications? a. Psyllium (Metamucil) b. Docusate sodium (Colace) c. Castor oil d. Bisacodyl (Dulcolax)