The critical care nurse is aware that the depth of burn injury is determined by the depth of tissue destruction and which other factors? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Duration of the burn exposure
2. Additional chronic medical conditions
3. Skin thickness
4. The cause of the burn
5. Body part of the burn injury
1,3,4
Rationale 1: A number of factors contribute to burn depth including the duration of the burning agent.
Rationale 2: The presence of other medical conditions may affect healing but is not a factor in determining burn depth.
Rationale 3: A number of factors contribute to burn depth including the skin thickness.
Rationale 4: A number of factors contribute to burn depth including the etiology.
Rationale 5: Location of body part burned may affect healing but is not a factor in determining burn depth.
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Nursing involves many areas for client education. Areas that the nurse may reinforce teaching with the client regarding adapting to altered health and function include Standard Text: Select all that apply
1. Health screening 2. Nutrition 3. Problem solving skills 4. Strategies to deal with problems 5. Facilitation of a strong self image
Which client would not be a good candidate for Depo-Provera (DMPA)?
1. One who wishes to get pregnant within 3 months 2. A nursing mother 3. One with a vaginal prolapse 4. One who weighs 200 pounds
A female patient is scheduled for a stereotactic needle biopsy of a left breast lesion. Instructions regarding this diagnostic test should include:
1. This is a three-dimensional mammogram in which a fine needle aspirate of the mass is taken while lying on the stomach. 2. The entire lesion is removed along with some of the surrounding tissue. 3. This is the gold standard for diagnosis in which a small cut is made in the breast under intravenous sedation. 4. A needle will be inserted into the lesion, guided by an ultrasound, and the contents aspirated.
A patient who received a corneal transplant 2 weeks ago calls the ophthalmology clinic to report that his vision has not improved with the transplant. Which action should the nurse take?
a. Suggest the patient arrange a ride to the clinic immediately. b. Ask about the presence of "floaters" in the patient's visual field. c. Remind the patient it may take months to restore vision after transplant. d. Teach the patient to continue using prescribed pupil-dilating medications.