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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Percent of body surface burned:
Important for guiding fluid resuscitation, but airway and breathing always take priority in the ABCs.
B. Respiratory status:
Inhalation injury is a life-threatening complication in fire-related burns. Assess for stridor, soot in nares/mouth, and signs of respiratory distress first.
C. Review of chronic illnesses:
Relevant for overall care planning, but not an initial priority in the emergency phase.
D. Burn depth:
Guides long-term care but is secondary to airway and breathing in the acute setting.
Correct Answer is D
Explanation
A. Intense pain:
Psoriasis can be itchy or mildly sore, but intense pain is not characteristic unless lesions are cracked/infected.
B. Lesions along the pathways of nerve endings:
Describes herpes zoster, not psoriasis.
C. Serous drainage:
Psoriatic lesions are typically dry unless secondarily infected.
D. Silvery, white scales:
Classic sign of psoriasis - raised, red patches with a silvery scale.
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