A patient, age 27, sustained thermal burns to 18% of her body surface area. After the first 72 hours, the nurse will have to observe for the most common cause of burn-related deaths, which is:
a. shock.
b. respiratory arrest.
c. hemorrhage.
d. infection.
ANS: D
Infection is the most common complication and cause of death after the first 72 hours.
You might also like to view...
A school nurse is providing health promotion teaching to a group of high school seniors. The nurse should highlight what salient risk factor for traumatic brain injury?
A) Substance abuse B) Sports participation C) Anger mismanagement D) Lack of community resources
An 18-year-old referred to the mental health center often cooks gourmet meals but eats only tiny portions. The patient wears layers of loose clothing saying, "I like the style.". The patient's weight dropped from 130 to 95 pounds
She has amenorrhea. Which diagnosis is most likely? a. Eating disorder not otherwise specified b. Anorexia nervosa c. Bulimia nervosa d. Binge eating
Lorena, an RN, is flying from Los Angeles to New York. The flight attendant requests the help of a nurse or physician if one is on board. Lorena approaches the flight attendant and asks if she can assist
Lorena is protected by the Good Samaritan Act because the act states that a licensed health-care provider can: A) Administer care any time B) Provide care that any other prudent individual with the same education would provide C) Provide the same care as a paramedic D) Provide care outside the scope of her practice as long as she knows how to perform the required procedure
A patient's burns have required a homograft. During the nurse's most recent assessment, the nurse observes that the graft is newly covered with purulent exudate. What is the nurse's most appropriate response?
A) Perform mechanical débridement to remove the exudate and prevent further infection. B) Inform the primary care provider promptly because the graft may need to be removed. C) Perform range of motion exercises to increase perfusion to the graft site and facilitate healing. D) Document this finding as an expected phase of graft healing.