A patient received deep partial-thickness burns to the anterior trunk, perineum, and left posterior and anterior arm. Using the "Rule of nines," what is the percent of total body surface area (TBSA) that was burned?
18%
36%
40%
28%
The Correct Answer is D
Adding these percentages together:
- Anterior trunk: 18%
- Perineum: 1%
- Left anterior arm: 4.5%
- Left posterior arm: 4.5%
Total = 18% + 1% + 4.5% + 4.5% = 28%
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: this is important to assess the individual’s blood level and risk of infection but it is not a priority action compared to airway management.
Choice B rationale: The insertion of an indwelling urinary catheter is crucial for urine output monitoring but is not a priority action to take.
Choice C rationale: Inspection of the mouth for signs of inhalation injuries is a priority action for burns patients, especially those who have sustained facial burns since they can result in airway compromise and subsequent respiratory failure. The signs to look out for include; soot in the mouth and mouth, hoarseness, stridor, wheezes, or singed nasal hairs. In cases of suspected inhalation injuries, the nurse should inform the healthcare provider to assess for the need for intubation.
Choice D rationale: administration of analgesics is crucial for pain relief for all burn patients. However, this is not a priority action to take compared to airway management.
Correct Answer is C
Explanation
Choice A rationale: Actinic keratosis presents as rough, scaly patches on sun-exposed skin and is not associated with the purplish-brown lesions seen in Kaposi's sarcoma.
Choice B rationale: Basal cell carcinoma typically presents as pearly or waxy bumps and is not characterized by widespread purplish-brown lesions.
Choice C rationale: Kaposi's sarcoma is characterized by the development of purplish-brown skin lesions, and it is commonly associated with advanced HIV/AIDS.
Choice D rationale: Toxic epidermal necrolysis is a severe skin reaction but is not typically associated with purplish-brown lesions.
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