A client has been diagnosed with a full-thickness burn injury to the hands and arms. Which of the following characteristics would the nurse expect to find? (Select all that apply.)
1. Blanches with fingertip pressure
2. Charred vessels visible under eschar
3. Many blisters that increase in size
4. Nerve endings dead
5. No edema
6. Very painful
2, 4
A full-thickness burn is a third-degree burn. A third-degree burn exhibits charred vessels visible under eschar, and the nerve endings are dead. There is no pain, and blisters are rare and do not increase in size. There is no blanching with pressure. Edema is not present with this type of burn injury.
You might also like to view...
The physician orders palifermin (Kepivance) 60 mcg/kg to be administered daily. The client weighs 35 kg. The medication is supplied 5 mg/mL. How many mL would you administer?
1. 0.42 mL 2. 30 mL 3. 36.5 mL 4. 33.6 mL
The nurse teaches the client about measures to prevent constipation. What does the nurse teach the client? Select all that apply
1. Do not take fiber supplements with juice or coffee. 2. Take diphenhydramine doses with a laxative. 3. Take psyllium-seed preparations with a full glass of water. 4. Calcium-carbonate should be taken separate from other medications. 5. Take any narcotic doses with a stool softener or laxative.
A client has hypervolemic hyponatremia. The assessment finding the nurse would find inconsistent with this condition is
a. dysrhythmias b. hypotension. c. jugular vein distention. d. S3 gallop.
A prenatal patient asks the nurse about conditions that would necessitate a cesarean delivery
The nurse explains that cesarean delivery generally is performed in the presence of: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Complete placenta previa. 2. Placental abruption. 3. Umbilical cord prolapse. 4. Precipitous labor. 5. Failure to progress.