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?
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%
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: When removing personal protective equipment (PPE) after a procedure involving contact precautions, the nurse should remove the items in a specific order to minimize the risk of contamination. Gloves should be removed first because they are the most likely to be contaminated and can transfer microorganisms to other surfaces or PPE during removal.
Choice B rationale: The mask should be removed after gloves and gown. Removing the mask first could potentially contaminate the hands, leading to the risk of transferring microorganisms to the face during mask removal.
Choice C rationale: The gown should be removed after gloves and before the mask. Removing the gown too early could lead to potential contamination of the hands.
Choice D rationale: The face shield should be removed after gloves, mask, and gown. It provides additional protection for the face and should be retained until the end of the removal process to minimize the risk of contamination.
Correct Answer is B
Explanation
Choice A rationale: Circular, erythematous patches on the scalp are more indicative of tinea capitis, a fungal infection affecting the scalp, and not tinea pedis.
Choice B rationale: Tinea pedis, commonly known as athlete's foot, typically presents with symptoms such as scaling, redness, and itching between the toes. It is a fungal infection affecting the feet.
Choice C rationale: Poison ivy exposure would result in contact dermatitis, characterized by a rash and blistering, rather than the typical presentation of tinea pedis.
Choice D rationale: Antiseizure medications are not typically associated with the development of tinea pedis; the symptoms described are more consistent with a fungal infection.
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