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
Explanation
A. Amenorrhea. Anorexia nervosa is associated with severe weight loss and malnutrition, leading to hormonal imbalances that disrupt the menstrual cycle. Decreased estrogen levels result in amenorrhea, which is a hallmark symptom of the disorder and a significant reproductive health concern.
B. Increased fertility. Anorexia nervosa typically leads to hormonal imbalances, including decreased levels of gonadotropins and estrogen, which suppress ovulation and reduce fertility rather than increasing it.
C. Early onset of puberty. Malnutrition and low body fat delay puberty rather than accelerating it. Adolescents with anorexia nervosa may experience delayed menarche and stunted growth due to inadequate nutrition.
D. Pelvic inflammatory disease (PID). PID is usually caused by sexually transmitted infections and is not directly associated with anorexia nervosa. The primary reproductive concern in anorexia is hormonal disruption leading to menstrual irregularities.
Correct Answer is ["A","C","E"]
Explanation
A. Delayed motor development. Children with muscular dystrophy often experience delayed milestones, such as difficulty walking, running, or climbing stairs. This is due to progressive muscle weakness, which affects motor skill acquisition.
B. Lung defects. While respiratory muscle weakness can occur in later stages of muscular dystrophy, congenital lung defects are not a primary characteristic of the condition. Respiratory complications typically arise due to muscle deterioration rather than structural lung defects.
C. Scoliosis. Progressive muscle weakness leads to postural instability, increasing the risk of scoliosis (abnormal spinal curvature). This is particularly common in Duchenne muscular dystrophy (DMD) as the muscles supporting the spine weaken.
D. Insomnia. Sleep disturbances are not a primary symptom of muscular dystrophy. However, respiratory complications or discomfort in later stages may contribute to sleep issues, but insomnia is not a defining feature.
E. Muscle weakness. Progressive muscle weakness is the hallmark of muscular dystrophy. It typically starts in the proximal muscles (hips, thighs, shoulders) and worsens over time, leading to mobility challenges and loss of independence.
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