A patient has a scald burn on the arm that is bright red, moist, and has several blisters. The nurse would classify this burn as which type?
Select all that apply.
1. a superficial partial-thickness burn
2. a thermal burn
3. a superficial burn
4. a deep partial-thickness burn
5. a full-thickness burn
Correct Answer: 1, 2
Superficial partial-thickness burns are often bright red, with a moist, glistening appearance and blister formation. Thermal burns result from exposure to dry or moist heat. A superficial burn is pink to bright red, with possible slight edema over the area. A deep partial-thickness burn often appears waxy and pale and may be moist or dry. A full-thickness burn may appear pale, waxy, yellow, brown, mottled, charred, or nonblanching red, with a dry, leathery, firm wound surface.
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The nurse is preparing information on breast cancer screening for a community health fair. Which information should the nurse include? (Select all that apply.)
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The client awakens at 3:00 AM requesting pain medication, but the nurse does not administer additional pain medication. Which justifies the nurse's decision to withhold the medication?
1. The client had a reaction to aspirin 5 years ago. 2. The nurse wants to help the client avoid drug addiction. 3. The client is asleep when the nurse returns with analgesia. 4. The client wants pain medication every hours exactly.
A maintenance worker left a hammer at the nurses' station. What should you do?
a. Leave it there. b. Ask the maintenance department to send someone to pick it up. c. Place it in a secure drawer. Then report its location to the maintenance department. d. Look for the maintenance worker who left it.
Which symptom of depression would likely be seen in a preschooler?
a. isolation from peers b. frequent complaints of headaches c. increased clinging and whiny behavior d. being picked on by peers