A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. Using the rule of nines the nurse should document burns to which percentage of the client's total body surface area (TBSA)?

9 percent

18 percent

36 percent

54 percent

Answer and Explanation

The Correct Answer is D

This is because according to the rule of nines, each arm accounts for 9 percent and each leg accounts for 18 percent of the TBSA. Therefore, burns on both arms and both legs equal (9+9+18+18) =54%.

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Correct Answer is B

Explanation

Basal cell carcinoma is the most common type of skin cancer and usually occurs on sun-exposed areas of the skin. It is slow-growing and rarely metastasizes. It appears as a small, translucent papule with rolled borders that may ulcerate and bleed.

A. Basal cell carcinoma is aggressive and rapid growing, B. Basal cell carcinoma has a low incidence of metastasis. C. Basal cell carcinoma develops from a nevi or mole. D. Basal cell carcinoma has a high mortality rate.

Correct Answer is B

Explanation

This is because basal cell carcinoma originates from the basal layer of the epidermis, which does not have access to blood vessels or lymphatics that can facilitate spreading to other organs. Basal cell carcinoma usually grows slowly and locally, and can be treated with surgery or radiation.

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A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. Using the rule of nines the nurse should document burns to which percentage of the client's total body surface area (TBSA)?

Nursing Test Bank

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