The nurse is caring for a 7-year-old child with burns covering the entire head and both legs. Using the provided chart, what is the calculated percentage of total body surface area involved?

Answer and Explanation

The Correct Answer is ["69"]

Step 1 is: To calculate the total body surface area (TBSA) involved in burns, we use the rule of nines or a modified version for children. For a 7-year-old child, the head accounts for 8.5% (front) + 8.5% (back), and each leg accounts for 6.5% (front) + 6.5% (back)3.

Step 2 is: Therefore, the total percentage of TBSA involved is (8.5% + 8.5%) + 2 * (6.5% + 6.5%) = 17% (head) + 26% (each leg) * 2 = 17% + 52% = 69%. So, the calculated percentage of total body surface area involved is 69%.

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Correct Answer is ["90"]

Explanation

When administering an intramuscular injection into the vastus lateralis muscle, the nurse should use a 90-degree angle. This ensures that the medication is delivered directly into the muscle tissue, allowing for optimal absorption.

A. Keeping the parents close by, so the infant can see them. B. Expecting the infant’s cooperation during the physical assessment. C. Auscultating heart, lung, and bowel sounds first. D. Smiling and using a gentle voice when talking to the infant. E. Starting the assessment at the infant’s head, beginning with the ears and eyes.

Correct Answer is ["A","C","D","E"]

Explanation

Choice A rationale

Keeping the parents close by during a physical assessment can help to soothe and comfort the infant. The presence of a familiar face can reduce anxiety and fear, making the examination process smoother.

Choice B rationale

Expecting an infant’s cooperation during a physical assessment is not realistic. Infants are not capable of understanding the purpose of the examination and may become distressed or uncooperative.

Choice C rationale

Auscultating heart, lung, and bowel sounds first is a recommended technique when performing a physical assessment on an infant. These assessments are non-invasive and can be done quickly and quietly, which can help to keep the infant calm and relaxed.

Choice D rationale

Using a gentle voice and smiling when talking to the infant can help to create a soothing and comforting environment. This can help to reduce the infant’s anxiety and make the examination process smoother.

Choice E rationale

Starting the assessment at the infant’s head, beginning with the ears and eyes, is a recommended technique. This allows the nurse to observe the infant’s facial expressions and reactions, which can provide valuable information about the infant’s overall health and well- being.

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The nurse is caring for a 7-year-old child with burns covering the entire head and both legs. Using the provided chart, what is the calculated percentage of total body surface area involved?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer benzathine penicillin G IM to a school-aged child. Which anglewill the nurse use for injection into the child’s vastus lateralis muscle?

Correct Answer is ["90"]

Explanation

When performing a physical assessment on an infant, the nurse understands that which of the following techniques will aid in the ability to complete the examination? (Select all that apply)

Correct Answer is ["A","C","D","E"]

Explanation

The nurse recognizes that which of the following is a key aspect of patient-centered care and the medical home model?

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