What percentage of burns is involved using the rule of nines if both front legs are burned?
a. 9%
b. 18%
c. 24%
d. 36%
ANS: B
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The nurse is auscultating the chest in an adult. Which technique is correct?
a. Instructing the patient to take deep, rapid breaths b. Instructing the patient to breathe in and out through his or her nose c. Firmly holding the diaphragm of the stethoscope against the chest d. Lightly holding the bell of the stethoscope against the chest to avoid friction
A nurse working on a busy medical unit has noticed an increase in the incidence of pressure ulcers in the patient population. Which action demonstrates the principles of evidence-based practice (EBP)?
A) Reviewing the literature for current best evidence pressure ulcer prevention B) Reviewing the literature for informational articles on best methods to prevent pressure ulcers C) Reviewing hospital policy and procedures to make sure they are being followed correctly D) Reviewing patient charts to audit nursing interventions to prevent pressure ulcers
A nursing instructor teaches a class of students that a source-oriented medical record may include which of the following labeled section tabs? Select all that apply
1. Nurse's notes 2. Progress notes 3. Graphic data 4. Physician's orders 5. Rehabilitation therapy
A hospitalized client has lost several pounds in the last week. The nurse reviews the client's lab results understanding that which test is the best indicator of acute nutritional changes?
a. Albumin level b. Pre-albumin level c. RBC count d. Total protein level