The nurse, caring for a patient admitted for burns over his torso and upper arms, has clothing adhered to the skin. Which of the following should the nurse do?
1. flush the clothing with hydrogen peroxide to clean the skin underneath
2. leave the clothing in place and flush the areas with cooled water
3. cover the areas with gauze
4. apply a topical antiseptic over the clothing areas
2
Rationale: Clothing, jewelry, belts, or anything containing heat is removed from the patient however adhered clothing or tar is left in place and cooled with water because removing it will cause further damage to the skin. The nurse should not flush the clothing with hydrogen peroxide, cover the areas with gauze, or apply a topical antiseptic over the clothing areas.
You might also like to view...
The nurse records care of a client who is medicated for pain. The most accurate entry would be:
1. 2. 3. 4.
The nurse is examining a 6-month-old infant and places the infant's feet flat on the table and flexes his knees up. The nurse notes that the right knee is significantly lower than the left. Which of these statements is true of this finding?
a. This finding is a positive Allis sign and suggests hip dislocation. b. The infant probably has a dislocated patella on the right knee. c. This finding is a negative Allis sign and normal for an infant of this age. d. The infant should return to the clinic in 2 weeks to see if his condition has changed.
Which of the following statements reflect current attitudes toward complementary and alternative therapies? (Select all that apply.)
1. Some health insurance companies are beginning to cover treatments such as acupuncture and massage therapy. 2. The majority of third-party payers do not cover chiropractic client treatments. 3. A large number of U.S. medical schools, among them Harvard and Yale, now offer coursework in holistic methods 4. The AMA encourages members to be better informed regarding alternative medicine. 5. Interest in holistic health care is decreasing worldwide.
A woman tells the nurse that her husband abuses her most often when he is intoxicated, just as his father had beaten him and his mother
The woman is aware of the location of a safe house and has considered leaving home with her two children, but she cites being brought up to believe "you keep quiet and stay together, no matter what happens.". She states the husband is always apologetic and remorseful after an incident. What evidence exists that the husband is at risk of becoming a perpetrator of physical abuse? He: a. is unable to make lasting behavioral changes. b. was an abused child. c. is without a job. d. experiences remorse.