The nurse is caring for a client with a burn that is severely edematous with a wound bed that is brown and yellow in appearance. The client expresses feeling no pain. Which classification of burn depth should the nurse document?
Deep partial-thickness.
Full-thickness.
Superficial partial-thickness.
Deep full-thickness.
The Correct Answer is B
Choice A reason: Deep partial-thickness burns are characterized by blisters and significant pain.
Choice B reason:
The correct answer is b) because full-thickness burns involve all layers of the skin and can extend into underlying tissues. They often appear brown or yellow and are usually painless due to nerve damage.
Choice C reason: Superficial partial-thickness burns affect the epidermis and part of the dermis, causing pain and redness.
Choice D reason: Deep full-thickness burns are also a possible answer, but full-thickness better describes the extent and characteristics given.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Decreased weeping of ulcerations is not the primary expected therapeutic response of urea cream.
Choice B reason: Reduced pain is beneficial but not the primary expected response of urea cream.
Choice C reason: Healing with a return to normal skin appearance may occur over time but is not the immediate expected response of urea cream.
Choice D reason:
The correct answer is d) because urea cream helps hydrate and soften dry skin, which is the primary expected therapeutic response for managing eczema.
Correct Answer is C
Explanation
Choice A reason: Altered tissue perfusion is important but not the primary concern in osteomalacia.
Choice B reason: Sleep pattern disturbance may occur but is not the highest priority.
Choice C reason:
The correct answer is c) because clients with osteomalacia have weakened bones and are at high risk for fractures, making injury prevention the highest priority.
Choice D reason: Risk of infection is important but not the primary concern in osteomalacia.
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