What is the most appropriate method to calculate the total body surface area (TBSA) burned in an adult patient?
Rule of Nines
Body Mass Index (BMI)
Patient's palm size
Parkland Burn Chart
The Correct Answer is A
A. The Rule of Nines is the most commonly used and appropriate method to quickly estimate the TBSA burned in adult patients. It divides the body into sections, each representing approximately 9% (or a multiple thereof) of the total body surface area.
B. BMI is used to assess body fat and weight status, not burn area.
C. The patient’s palm size is roughly 1% of TBSA and is more commonly used for estimating small, scattered burns, not for calculating large surface areas.
D. There is no such tool as the "Parkland Burn Chart"; the Parkland Formula is used for fluid resuscitation after TBSA is estimated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Proper oral care actually reduces the risk of ventilator-associated pneumonia (VAP) by minimizing bacterial colonization in the mouth.
B. Oral care is essential to maintain hygiene, prevent infections like VAP, and promote patient comfort in patients with an ETT in place.
C. Oral care should be provided more frequently than once a day, often every 2 to 4 hours, to be effective.
D. Neglecting oral care in patients with an ETT increases the risk of complications, so it is definitely necessary.
Correct Answer is A
Explanation
A. Most burns are preventable through proper safety measures, public education, and environmental precautions, such as smoke alarms, safe cooking practices, and keeping hot liquids away from children.
B. Burns can be caused by various sources, including scalds, chemicals, electricity, and radiation, not just fire.
C. Many burns can be prevented with awareness and safety interventions.
D. Burns can be severe even if they cover a small area, especially if they affect critical regions like the face, hands, feet, or perineum, or if they are deep (e.g., full-thickness burns).
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