The nurse is determining if the "rule of nines" can be used to estimate the extent of an adult client's burn injuries. For which reason would this approach be questioned? (Select all that apply.)
1. The client is old.
2. The client is thin.
3. The client is short.
4. The client is obese.
5. The client is unconscious.
Answer: 2, 3, 4
1. The "rule of nines" can be used for an older client.
2. The "rule of nines" is a way to estimate the percentage of total body surface area (TBSA) affected by a burn injury. This quick method is useful in emergency situations, but it is not accurate for adults who are very thin.
3. The "rule of nines" is a way to estimate the percentage of TBSA affected by a burn injury. This quick method is useful in emergency situations, but it is not accurate for adults who are short.
4. The "rule of nines" is a way to estimate the percentage of TBSA affected by a burn injury. This quick method is useful in emergency situations, but it is not accurate for adults who are obese.
5. The "rule of nines" can be used for a client who is unconscious.
You might also like to view...
The vice president for nursing services of a large teaching hospital has been aware that many of the problems in the nursing staff result from poor management at the unit level
What are reasons that nurse managers are sometimes ineffective in their role? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. There is little training available for nurse management positions. 2. Entry-level educational programs for nurses do not contain sufficient managerial content. 3. Management techniques are often learned "on the job." 4. Nurses are not good managers. 5. Nurses often experience poor supervision in their own careers.
A client with chest pain is scheduled for blood work to check his heart damage. Which laboratory study should the nurse expect to be prescribed for this client?
1. Creatine kinase (CK) 2. Cardiac muscle troponin 3. Atrial natriuretic factor (ANF) 4. B-natriuretic peptide (BNP)
Which of the following clients are at greatest risk for cholelithiasis? (Select all that apply.)
A. Obese B. Familial history C. Age over 60 years D. Type 1 diabetic E. Alcoholic F. Client with hemolytic anemiaG. Arthritic
The physician orders incentive spirometry for a postoperative client with an abdominal incision. The client asks the nurse why this treatment is necessary. Select the best response
1. "The combination of anesthesia and the abdominal incision has decreased your ability to breathe deeply. This device will give you a goal for taking and sustaining deep breaths, which will reverse these effects." 2. "This device will inflate your lungs and make you feel better. Besides, the doctor has ordered it." 3. "This device is only for the purpose of measuring your progress and gives us documentation for the medical chart. This may allow you to go home early." 4. "Using the incentive spirometer will make you cough up your sputum. The more sputum you cough up, the better, but it will hurt. This device can also give you lots of distraction during painful episodes."