A nurse is caring for a client following the application of a heating pad. Which of the following manifestations should the nurse identify as an indication that the client has a first-degree burn?
Blistering
Leathery skin
Waxy skin
Erythema (redness)
The Correct Answer is D
A. Blistering: Blistering is characteristic of second-degree (partial-thickness) burns, not first-degree burns.
B. Leathery skin: Leathery or tough skin is a sign of a third-degree (full-thickness) burn, which extends through the dermis.
C. Waxy skin: Waxy, white, or charred skin is seen in deep burns, including third- and fourth-degree burns, not first-degree burns.
D. Erythema (redness): First-degree burns (superficial burns) affect only the epidermis and present as erythema, pain, and possible mild swelling without blistering.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Nervous tissue: Nervous tissue consists of neurons, which have dendrites (receive signals) and axons (transmit signals) to facilitate communication within the nervous system.
B. Muscle tissue: Muscle tissue contracts to cause movement but does not contain dendrites and axons.
C. Epithelial tissue: Epithelial tissue forms protective barriers and does not have neurons or nerve cell structures.
D. Connective tissue: Connective tissue supports and binds body structures but does not transmit nerve signals.
Correct Answer is C
Explanation
A. Peritonitis: Peritonitis is inflammation of the peritoneal cavity, often due to infection, not necessarily linked to reduced protein synthesis.
B. Pneumonia: Pneumonia is a lung infection that may occur due to weakened immunity in aging individuals but is not directly caused by reduced protein synthesis.
C. Skin breakdown (pressure injury): Slowed tissue repair due to reduced protein synthesis increases the risk of skin breakdown and pressure injuries in elderly clients.
D. Meningitis: Meningitis is inflammation of the meninges due to infection, not due to slowed tissue repair.
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