A 6-year-old child has a superficial partial-thickness burn on the arm. Which nursing goal is most appropriate when planning treatment for this minor burn?
Apply cool water to the burn for up to 15 minutes, clean gently with mild soap daily, and manage pain with over-the-counter medications.
immediately administer IV fluids to prevent hypovolemia and monitor urine output.
Encourage sun exposure to the burn area to promote vitamin D synthesis and healing.
Prevent infection by keeping the burn clean and covered with a dry sterile dressing.
The Correct Answer is A
A. Apply cool water to the burn for up to 15 minutes, clean gently with mild soap daily, and manage pain with over-the-counter medications: For a superficial partial-thickness burn, immediate first aid with cool water reduces pain and limits tissue damage. Gentle daily cleansing and appropriate analgesia support healing and comfort.
B. Immediately administer IV fluids to prevent hypovolemia and monitor urine output: IV fluid resuscitation is necessary for extensive burns covering a significant body surface area, not for a minor superficial partial-thickness burn. Overhydration for a small burn is unnecessary and may cause complications.
C. Encourage sun exposure to the burn area to promote vitamin D synthesis and healing: Sun exposure can damage healing skin, increase the risk of scarring, and is contraindicated during acute burn recovery. Protection from ultraviolet light is recommended until the skin fully heals.
D. Prevent infection by keeping the burn clean and covered with a dry sterile dressing: While infection prevention is important, dry sterile dressings are typically used for deeper burns. Superficial partial-thickness burns benefit from gentle cleansing and sometimes moist or emollient dressings to promote epithelialization rather than solely dry coverage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Formula feeding is easier and will let you get more rest, so it's definitely the better option now.": This statement introduces personal judgment and implies superiority of one feeding method over another. It may invalidate the mother’s autonomy and oversimplifies infant feeding decisions. Nursing communication should remain neutral and supportive rather than directive or comparative.
B. "I can help you learn how to properly prepare and safely store formula to ensure your infant receives safe nutrition.": This response respects the mother’s informed choice while prioritizing infant safety and adequate nutrition. Teaching correct formula preparation, dilution, and storage reduces the risk of infection, electrolyte imbalance, and inadequate caloric intake. It reflects patient-centered, nonjudgmental nursing care.
C. "Since formula feeding is not as beneficial as breastfeeding, you should only use it as a last resort.": This statement is judgmental and may increase parental guilt or distress. While breastfeeding has immunologic benefits, formula feeding can fully support normal growth when used correctly. Nursing support should focus on safe feeding practices rather than persuasion.
D. "Breastfeeding provides better immunity, so I strongly recommend you reconsider and continue breastfeeding.": This response disregards the mother’s decision and undermines autonomy. Pressuring the parent may damage trust and does not address the immediate need for education on formula use. Supportive counseling should align with the family’s chosen feeding method.
Correct Answer is ["C","D"]
Explanation
A. Wipe the genitals from back to front: Wiping from back to front increases the risk of introducing bacteria from the anal area to the urethra, which can contribute to urinary tract infections (UTIs). Caregivers should be instructed to wipe from front to back.
B. Use nylon underwear: Nylon or synthetic underwear can trap moisture and create an environment conducive to bacterial growth, increasing UTI risk. Cotton underwear is recommended for better ventilation and moisture absorption.
C. Encourage frequent trips to the toilet: Encouraging regular urination helps prevent urine stasis in the bladder, reducing the risk of bacterial growth and UTIs. Scheduled toilet trips are particularly important for children with vesicoureteral reflux.
D. Avoid bubble baths: Bubble baths and harsh soaps can irritate the urethra and perineal area, increasing susceptibility to UTIs. Plain water or mild soap is recommended during bathing.
E. Limit fluid intake: Limiting fluids can concentrate urine and reduce the frequency of urination, both of which increase the risk of UTIs. Adequate hydration is essential to flush bacteria from the urinary tract.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
