A nurse is caring for a preschooler who has a partial-thickness burn on her right forearm. Which of the following findings should the nurse expect? (Select all that apply.)

Blisters

Wound blanches with pressure

Dry face

Intact epidermis

Sensitive to touch

Answer and Explanation

Correct Answer : A,B,E

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.

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Correct Answer is C

Explanation

Choice A rationale: Actinic keratosis presents as rough, scaly patches on sun-exposed skin and is not associated with the purplish-brown lesions seen in Kaposi's sarcoma.
Choice B rationale: Basal cell carcinoma typically presents as pearly or waxy bumps and is not characterized by widespread purplish-brown lesions.
Choice C rationale: Kaposi's sarcoma is characterized by the development of purplish-brown skin lesions, and it is commonly associated with advanced HIV/AIDS.
Choice D rationale: Toxic epidermal necrolysis is a severe skin reaction but is not typically associated with purplish-brown lesions.

A. The burned area is red in color with eschar present. B. The burned area is yellow in color with severe edema. C. The burned area is black in color and pain is absent. D. The burned area is pink in color with blisters present.

Correct Answer is D

Explanation

Choice A rationale: This describes a full-thickness burn with eschar formation, not a deep partial-thickness burn.
Choice B rationale: This may indicate a deeper burn involving the subcutaneous tissue, but the absence of blisters makes it less characteristic of a deep partial-thickness burn.
Choice C rationale: This suggests a full-thickness burn with damage to nerve endings, not a deep partial-thickness burn.
Choice D rationale: A deep partial-thickness burn is characterized by a pink or mottled appearance with the presence of blisters. This type of burn involves damage to the epidermis and portions of the dermis, causing pain and sensitivity to touch.

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A nurse is caring for a preschooler who has a partial-thickness burn on her right forearm. Which of the following findings should the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is assessing a client who has AIDS. The nurse notes that the client has multiple and widespread raised, purplish- brown skin lesions. The nurse should recognize that these findings indicate which of the following conditions

Correct Answer is C

Explanation

A nurse is assessing a client who is brought to the emergency room with burn injuries. Which of the following findings should the nurse identify a deep partial-thickness burn?

Correct Answer is D

Explanation

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