A nurse is admitting a client who sustained severe burn injuries. The nurse refers to the rule of nines to determine the total body surface area of Your injury What percentage of body surface area should the nurse estimate the client has burned?

Answer and Explanation

The Correct Answer is ["54"]

Rationale: This is because according to the rule of nines, the lower limbs anteriorly and posteriorly will account for 18% each, and the back accounting for 18%

So, the TBSA will be, (18+18+18) =54%

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Correct Answer is C

Explanation

Choice A rationale: Hemoglobin level reflects the oxygen-carrying capacity of the blood but is not a direct indicator of nutritional status.
Choice B rationale: International Normalized Ratio (INR) is a measure of blood clotting, and a normal value does not directly impact wound healing.
Choice C rationale: Serum albumin is a marker of nutritional status, and a low level (hypoalbuminemia) can adversely affect wound healing. Adequate protein intake is essential for collagen synthesis and overall tissue repair.
Choice D rationale: White blood cell count is an indicator of immune response and infection but does not directly affect wound healing in the absence of infection.

A. Genitalia B. Mouth C. Extremities D. Scalp

Correct Answer is B

Explanation

Choice A rationale: While herpes simplex virus type 2 (HSV-2) is more commonly associated with genital herpes, HSV-1 can also cause genital lesions.
Choice B rationale: Herpes simplex virus type 1 (HSV-1) typically causes oral lesions, commonly known as cold sores or fever blisters. Recurrence of HSV-1 lesions is most likely to occur on or around the mouth.
Choice C rationale: Recurrence of HSV-1 lesions is not typically found on the extremities.
Choice D rationale: HSV-1 lesions are not commonly found on the scalp.

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A nurse is admitting a client who sustained severe burn injuries. The nurse refers to the rule of nines to determine the total body surface area of Your injury What percentage of body surface area should the nurse estimate the client has burned?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a stage 3 pressure ulcer. The nurse should recognize that which of the following laboratory findings will affect wound healing?

Correct Answer is C

Explanation

A nurse is assessing a client who has viral rhinitis and a history of herpes simplex virus type HSV-lesions. The nurse should assess which o following areas of the body for the recurrence of HSV-1 lesions?

Correct Answer is B

Explanation

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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?