A 45-year-old male patient arrives at the emergency department with partial-thickness burns on his entire right arm, the front of his right leg, and the entire front of his torso. Using the Rule of Nines, what is the estimated Total Body Surface Area (TBSA) burned?
54%
27%
45%
36%
The Correct Answer is D
A. 54%. This percentage would be an overestimate based on the Rule of Nines.
B. 27%. This underestimates the TBSA affected based on the Rule of Nines.
C. 45%. This overestimates the TBSA.
D. 36%. Using the Rule of Nines:
- Entire right arm = 9%
- Front of right leg = 9%
- Front of torso = 18%
Total TBSA = 9% + 9% + 18% = 36%
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Systemic lupus erythematosus (SLE): SLE can cause joint pain, but it is usually accompanied by systemic symptoms such as a butterfly rash, fatigue, and organ involvement.
B. Osteoarthritis (OA): Osteoarthritis pain typically worsens with activity and improves with rest. It commonly affects weight-bearing joints like the knees and hands.
C. Rheumatoid arthritis (RA): RA pain is usually worse in the morning and improves with movement. It also presents with joint swelling and systemic inflammation.
D. Gouty arthritis: Gout typically presents with acute, severe pain and redness, commonly affecting the big toe, rather than chronic worsening pain with activity.
Correct Answer is A
Explanation
A. Impetigo. Impetigo is a highly contagious bacterial skin infection, often caused by Staphylococcus aureus or Streptococcus pyogenes. It is characterized by honey-colored crusted lesions, especially around the mouth and extremities.
B. Scabies. Scabies presents as intensely itchy burrows or papules, often in the web spaces of the fingers, wrists, and axillae, rather than honey-colored crusts.
C. Herpes simplex virus. Herpes simplex virus (HSV) typically causes grouped vesicular lesions on an erythematous base, not crusted honey-colored lesions.
D. Tinea corporis. Tinea corporis (ringworm) presents as red, scaly, annular lesions with central clearing, not honey-colored crusts.
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