The nurse would assess that the client with a "major burn" is
a. 60 years old with a 20% burn.
b. 32 years old with a 14 % burn.
c. 18 years old with an 18% burn.
d. 10 years old with a 15% burn.
A
The classification of major burns follows: persons over age 40 with a 20% burn, persons under 40 with a 25% burn, children under 10 with a 20% burn. Other criteria include the following: burns involving the face, eyes, ears, hands, feet, and perineum likely to result in functional or cosmetic disability; high-voltage electrical burn injury; all burn injuries with concomitant inhalation injury or major trauma.
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A patient arrives in the emergency department with an attack of acute bronchiectasis. Chest auscultation reveals the presence of copious secretions. What intervention should the nurse prioritize in this patient's care?
A) Oral administration of diuretics B) Intravenous fluids to reduce the viscosity of secretions C) Postural chest drainage D) Pulmonary function testing
A victim of a violent rape was treated in the emergency department. As discharge preparation begins, the victim says softly, "I will never be the same again. I can't face my friends. There is no reason to go on."
Select the nurse's most appropriate response. a. "Are you thinking of harming yourself?" b. "It will take time, but you will feel the same.". c. "Your friends will understand when you explain it was not your fault.". d. "You will be able to find meaning in this experience as time goes on.".
Which of the following are reactions that accompany disability for most people? (Select all that apply.)
A) Mourning losses B) Denial of disabilities by making unrealistic plans and not complying with their care plans C) Angry outbursts and impatience with those who are trying to help them D) Fluctuations in reactions E) Acceptance of the disability with an absence of periods of regret or resentment
A patient with fluid volume excess has a hemoglobin level of 9 mg/dL. How would the nurse explain the more likely cause of this laboratory value?
1. An undiagnosed bleeding disorder exists. 2. The patient has chronic anemia. 3. The patient has iron deficiency anemia. 4. Plasma dilution has occurred due to excess fluid