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?

Bright-red, moist lesions

Blackened, painful lesions

Snowy white, painless lesions

Blistered, pinkish-white, painful lesions

Answer and Explanation

The Correct Answer is C

A. Bright-red, moist lesions:
This describes superficial partial-thickness burns, not full-thickness burns.

B. Blackened, painful lesions:
Full-thickness burns may appear black (eschar), but they are typically painless due to nerve destruction.

C. Snowy white, painless lesions:
Full-thickness burns can be white, leathery, or charred and are often painless due to complete nerve damage.

D. Blistered, pinkish-white, painful lesions:
These are characteristic of deep partial-thickness burns, which retain some nerve sensation.

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Correct Answer is C

Explanation

A. Lip edema:
Concerning, but not as urgent as difficulty swallowing, which could signal airway involvement.

B. Urinary output 25 mL/hr:
Slightly low, needs monitoring, but not the immediate priority.

C. Difficulty swallowing:
Suggests edema involving the airway, possibly progressing to obstruction - this is the priority.

D. Heart rate 122/min:
May reflect pain or fluid loss, but not as urgent as a threatened airway.

A. Circular, erythematous patches on the scalp B. Scaling and redness between the toes C. Recent exposure to poison ivy D. A recent prescription for an antiseizure medication

Correct Answer is B

Explanation

A. Circular, erythematous patches on the scalp:
Describes tinea capitis, not tinea pedis.

B. Scaling and redness between the toes:
Classic symptoms of tinea pedis (athlete’s foot), a fungal infection often affecting the web spaces of toes.

C. Recent exposure to poison ivy:
Suggests allergic contact dermatitis, not fungal infection.

D. A recent prescription for an antiseizure medication:
More suggestive of Stevens-Johnson syndrome or drug reactions-not tinea pedis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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