A nurse is admitting a client who sustained severe burn injuries. The nurse refers to the rule of nines to determine the total body surface area of Your injury What percentage of body surface area should the nurse estimate the client has burned?
The Correct Answer is ["54"]
Rationale: This is because according to the rule of nines, the lower limbs anteriorly and posteriorly will account for 18% each, and the back accounting for 18%
So, the TBSA will be, (18+18+18) =54%
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Rubbing the affected area may exacerbate pruritus and potentially spread scabies.
Choice B rationale: Providing mittens can prevent the client from scratching the affected areas, promoting healing and preventing the spread of scabies.
Choice C rationale: Hot water can worsen itching and should be avoided in scabies management.
Choice D rationale: The application of scabicide should follow the prescribed treatment plan, and additional application without guidance may lead to overuse and potential adverse effects.
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale: partial-thickness burns are usually characterized by the formation of blisters as a result of increased capillary permeability resulting in edema formation separating the epidermis from the dermis.
Choice B rationale: wound blanching with pressure is expected in partial-thickness burns due to compromised blood circulation.
Choice C rationale: This is not a typical finding in a partial-thickness burn.
Choice D rationale: this is incorrect since partial-thickness burns involve damage to the epidermis.
Choice E rationale: nerve endings are damaged in partial-thickness burns thus making the area sensitive to touch.
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