A nurse is caring for an adult patient with extensive burns on the front of the trunk, including the genitalia, and the fronts of both legs. How should the nurse document the burn size using the rule of nines?
a. 13%
b. 17%
c. 25%
d. 37%
D
Per the rule of nines, the front trunk equals 18%, the fronts of the legs equal 18%, and the genita-lia equal 1%.
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A hospitalized child has been diagnosed with SIADH (syndrome of inappropriate antidiuretic hormone), a complication of his meningitis. What would the nurse expect to see on this child's lab results?
1. Hyponatremia 2. Hypocalcemia 3. Hyperglycemia 4. Hypernatremia
A middle-aged male walks into the emergency department complaining of chest pain radiating to the neck, shortness of breath, and nausea
His heart rate is 120 and BP is 94/60. The ED physician recognizes the patient is having an acute MI with decreased cardiac output. The nurse identifies the nausea to be in response to A) the patient not having a very high pain tolerance. B) hypoxia exerting a direct effect on the chemoreceptor trigger zone. C) the patient not having digested his meal completely. D) fear of having to make major lifestyle changes.
An older patient is diagnosed with early-mild Alzheimer's disease. Which should be done at the time of diagnosis?
1. Discuss treatment options and wishes with the patient. 2. Identify a long-term care facility for immediate transfer. 3. Explain that this stage of the disorder can last up to 10 years. 4. Instruct family members to slowly improve the home environment for safety.
Oral decongestants differ from intranasal decongestants in that oral decongestants
1. are more effective at relieving severe congestion. 2. have more systemic effects. 3. can cause rebound congestion. 4. have high efficacy.