A nurse is collecting data from a client who presents with a partial thickness burn. Which of the following does the nurse suspect as the cause of the client's condition?
An electrical source
Contact with hot liquid
A mild sunburn
Contact with a flame
The Correct Answer is B
A. An electrical source. Electrical burns often cause deep tissue damage that may not be visible on the surface. These burns can extend beyond the skin, affecting muscles, nerves, and internal organs, making them more severe than partial-thickness burns.
B. Contact with hot liquid. Scald burns from hot liquids (e.g., boiling water, coffee, soup) are a common cause of partial-thickness burns. These burns affect the epidermis and part of the dermis, leading to blistering, redness, and pain.
C. A mild sunburn. Mild sunburns typically cause superficial burns (first-degree burns), affecting only the epidermis and resulting in redness and discomfort without blisters. Partial-thickness burns involve deeper skin layers.
D. Contact with a flame. Direct contact with a flame is more likely to cause deeper burns, often resulting in full-thickness burns (third-degree) rather than partial-thickness burns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Breathing techniques. Deep breathing exercises help reduce stress, promote relaxation, and lower anxiety, making them an effective strategy to mitigate burnout among healthcare staff.
B. Work extended shifts. Long shifts contribute to burnout by increasing physical and emotional exhaustion. Encouraging shorter shifts and adequate rest periods is more beneficial for staff well-being.
C. Facilitate discussion on vicarious trauma. Caring for terminally ill children can lead to compassion fatigue and secondary trauma. Providing a safe space for staff to discuss their experiences helps in processing emotions and reducing emotional distress.
D. Take sleep aids at night. While sleep is essential, relying on sleep aids is not a recommended long-term strategy for managing burnout. Encouraging healthy sleep hygiene and relaxation techniques is a safer approach.
E. Guided imagery. This stress-reduction technique involves visualizing calming and peaceful scenes, helping healthcare staff manage emotional strain and maintain resilience in a high-stress environment.
Correct Answer is D
Explanation
A. "Intussusception is a congenital condition where the layers of the intestinal wall do not form properly." Intussusception is not a congenital malformation but an acquired condition where one part of the intestine telescopes into another, causing obstruction and potential ischemia.
B. "Intussusception is a consequence of weakened abdominal muscles, allowing a portion of the intestine to bulge." This description is more characteristic of a hernia rather than intussusception, which involves the invagination of the intestine rather than a protrusion.
C. "Intussusception results from the twisting of the intestines, causing a blockage in the passage of food." Twisting of the intestines describes volvulus, a separate condition that can also cause bowel obstruction but occurs through a different mechanism than intussusception.
D. "Intussusception occurs when one segment of the intestine slides into another, which can cut off blood supply." This is the correct explanation. The telescoping of the intestine can cause bowel obstruction and compromise blood flow, leading to symptoms such as severe abdominal pain, vomiting, and the passage of red, currant jelly-like stools.
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