Which of the following is most important when determining whether or not to refer a patient to a burn center?
a. The size and depth of burn injury and the burning agent
b. The age and present medical history of the patient
c. The depth of the burn injury and the presence of soot in the sputum
d. The medical history of the patient and the size and depth of the burn injury
D
Burns are classified primarily according to the size and depth of injury. However, the type and location of the burn and the patient's age and medical history are also significant considerations. Recognition of the magnitude of burn injury, which is based on the above-mentioned factors, is of crucial importance in the overall plan of care and in decisions concerning patient management and appropriate referral to a burn center.
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A client who has been treated for gastric ulcers will have which of these dietary prescriptions?
a. fat controlled c. low residue b. liberal bland d. regular
Which actions should the nurse include in a care plan to effectively assist the patient with a total laryngectomy to maintain airway clearance? (Select all that apply.)
a. Turning, coughing, and deep breathing b. Placing the patient in a semi-Fowler posi-tion c. Maintaining hydration d. Attaching a tracheostomy collar e. Providing a method to communicate
A client is having a blood sample drawn for leukocytes. The nurse realizes this type of blood cell is responsible for:
a. transporting hemoglobin. b. protecting the body from infection. c. vascular repair. d. facilitation of glucose utilization into the cell.
The postmenopausal client says that she is experiencing difficulty with vaginal dryness during intercourse and wonders what might be the cause. What is the nurse's best response?
A. "The less frequently you have intercourse, the drier the vaginal tissues become." B. "Estrogen deficiency causes the vaginal tissues to become drier and thinner." C. "Drinking at least 3 L of water each day will make all your tissues less dry." D. "Try using a water-soluble lubricant during intercourse."