A nurse is collecting data from a client who sustained superficial partial-thickness and deep partial burns 72 hours ago. Which of the following findings should the nurse report to the provider?
Minimal edema in the affected extremities
Temperature of 39.1 C (102.4 F)
Pain at the burn sites
urine output of 30 ml/hr
The Correct Answer is B
A. Minimal edema in the affected extremities:
Expected after 72 hours as inflammation begins to subside.
B. Temperature of 39.1°C (102.4°F):
Elevated temperature may indicate infection or systemic inflammation and should be reported.
C. Pain at the burn sites:
Pain is expected, especially in partial-thickness burns where nerve endings are exposed.
D. Urine output of 30 mL/hr:
While on the lower end of normal, this is still acceptable for an adult (minimum: 30 mL/hr).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.6"]
Explanation
Calculation:
(6,000 units ÷ 10,000 units/mL) = 0.6 mL
Correct Answer is B
Explanation
A. "I used to lie in the sun all the time, but now I just go to the tanning bed.":
Tanning beds also emit harmful UV radiation and increase the risk of skin cancer.
B. "I need to use sunscreen even in winter.":
UV rays are present year-round, even in cloudy or cold weather, and sunscreen is still needed.
C. "Because I have a light complexion, I have a decreased risk for skin cancer.":
Fair-skinned individuals have a higher risk due to less melanin protection.
D. "My father was treated for melanoma, but skin cancer isn't related to genetics.":
Family history of skin cancer, especially melanoma, increases risk.
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