A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an escharotomy and wants to know what the procedure involves. Which of the following statements is appropriate for the nurse to make?

"A cannula will be inserted into the bone to infuse fluids and antibiotics."

"An escharotomy surgically removes dead tissue."

"A piece of skin will be removed and grafted over the burned area."

"Large incisions will be made in the burned tissue to improve circulation."

Answer and Explanation

The Correct Answer is D

A. "A cannula will be inserted into the bone to infuse fluids and antibiotics.":
Describes intraosseous access, not escharotomy.

B. "An escharotomy surgically removes dead tissue.":
That is debridement, not escharotomy.

C. "A piece of skin will be removed and grafted over the burned area.":
Describes a skin graft, not escharotomy.

D. "Large incisions will be made in the burned tissue to improve circulation.":
Escharotomy involves cutting through the burned eschar to relieve pressure and restore circulation, especially in circumferential full-thickness burns.

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Correct Answer is D

Explanation

A. Firm nodule with crust:
Suggests squamous cell carcinoma, not melanoma.

B. Pearly papule with an ulcerated center:
Classic for basal cell carcinoma, not melanoma.

C. Rough, dry and scaly:
Suggestive of actinic keratosis, a precursor to squamous cell carcinoma.

D. Irregularly shaped, irregular borders, brown, tan and black coloring:
This is typical of malignant melanoma, which often appears as an asymmetrical lesion with variegated color and irregular borders.

A. Allergic contact B. Atopic dermatitis C. Seborrheic dermatitis D. Contact dermatitis

Correct Answer is C

Explanation

A. Allergic contact
This presents as a localized rash with itching after exposure to an allergen — not typically greasy or crusted.

B. Atopic dermatitis
Typically dry, itchy, and more common on flexor surfaces — not greasy or crusted.

C. Seborrheic dermatitis
Characterized by reddened skin with greasy scales and yellowish crusts, especially on the face, scalp, or nasolabial folds.

D. Contact dermatitis
Presents as red, itchy rash due to irritant exposure - lacks greasy scales or crusts.

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A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an escharotomy and wants to know what the procedure involves. Which of the following statements is appropriate for the nurse to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has an arm lesion. Which of the following characteristics is a clinical manifestation of a malignant melanoma?

Correct Answer is D

Explanation

While collecting data on a patient, the nurse observes that the patient's facial skin is reddened and is covered with greasy scales, yellowish crusts. What skin disorder does the nurse expect the patient to be treated for?

Correct Answer is C

Explanation

A nurse is assisting in the care of a client who has severe burns. Exhibits Which of the following actions should the nurse take when caring for a client who has severe burns to the lower extremities? Select all that apply.

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A patient is brought to the emergency department after a house fire. the patient has extensive trunk and lower extremity burns and is diagnosed with a full thickness burn. What assessment findings does the nurse expect?

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Which of the following is a potential adverse reaction to silver sulfadiazine in burn victims?

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