A child is admitted with extensive burns. The nurse notes burns on the child's lips and singed nasal hairs. The nurse should suspect what condition in the child?

a. A chemical burn
b. A hot-water scald
c. An electrical burn
d. An inhalation injury


ANS: D
Evidence of an inhalation injury includes burns of the face and lips, singed nasal hairs, and laryngeal edema. Clinical manifestations may be delayed for up to 24 hours. Chemical burns, electrical burns, and burns associated with hot-water scalds would not produce singed nasal hair.

Nursing

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Which of the following patients would be at risk for developing nonthrombocytopenic purpura? Select all that apply

A) A child adopted from India and displaying malaise, lethargy, and petechiae all over the body B) A 73-year-old patient admitted with concussion that resulted from a fall C) A 55-year-old patient diagnosed with Cushing disease displaying bruises, weight gain with a buffalo hump, and moon face D) A 15-year-old insulin-dependent diabetic with hypoglycemia displaying irritability with headaches and tachycardia E) A pregnant mother experiencing headaches and proteinuria

Nursing

Which of the following is an example of an energy-based modality recognized by the National Center for Complementary and Alternative Medicine?

a. Biofeedback b. Pilates exercise c. Phytotherapy d. Reiki

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A 38-year old woman receiving chemotherapy for breast cancer develops a Candida albicans oral infection. The nurse will anticipate the need for

a. hydrogen peroxide rinses. b. the use of antiviral agents. c. administration of nystatin (Mycostatin) tablets. d. referral to a dentist for professional tooth cleaning.

Nursing

The patient is receiving norepinephrine (Levophed). When monitoring the patient's blood pressure, the nurse notes a pressure of 230/120 mmHg. What is the priority nursing action?

1. Assess the patient for signs/symptoms of a stroke. 2. Notify the physician. 3. Slow the rate of the infusion until the physician assesses the patient. 4. Stop the infusion.

Nursing