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 A

Explanation

Choice A rationale: the epidermis becomes thinner and more fragile with age hence making the skin of elderly individuals more prone to injury, bruising, and infections.
Choice B rationale: this is incorrect because the skin in old age loses its elasticity and becomes more wrinkled due to the loss of collagen and elastin fibers responsible for maintaining the elasticity of the skin.
Choice C rationale: subcutaneous tissue comprising mainly of fat and connective tissue increases with age especially in regions such as the abdomen.
Choice D rationale: blood vessels within the skin become narrower and less efficient with increasing age thus resulting in decreased blood flow and oxygen delivery to the skin.
Choice E rationale: sebum production which is responsible for skin lubrication increases with age thus making this statement incorrect.

A. Herpes zoster is easily spread to family and friends who have had chickenpox in the past. B. The lesions are contagious to others only if they are draining. C. Many clients experience pain in the affected area for weeks after the lesions have resolved. D. vesicles will appear followed by pain and or itching.

Correct Answer is C

Explanation

Choice A rationale: Herpes zoster itself is not easily spread, but the varicella-zoster virus can be transmitted to individuals who have not had chickenpox or the varicella vaccine.
Choice B rationale: While the virus can be spread through contact with the fluid from shingles blisters, it can also be spread by respiratory droplets from the infected person.
Choice C rationale: Postherpetic neuralgia is a common complication of herpes zoster (shingles), and it involves persistent pain in the affected area even after the lesions have healed.
Choice D rationale: This statement is accurate, but it does not address the persistent pain (postherpetic neuralgia) that can occur after the lesions resolve.

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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 teaching a class about expected changes to the skin in older adults. Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse is formulating a teaching plan about herpes zoster for a group of older adults at a community center. The nurse should include which of the following information in the plan?

Correct Answer is C

Explanation

A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2). Which of the following findings should the nurse expect?

A nurse identifies a pressure ulcer after a client had a long, extensive recovery following a surgical procedure. When completing an incident about a pressure ulcer, the nurse should take which of the following actions?

A nurse is assessing a client who has basal cell carcinoma on her nose. The nurse should expect which of the following findings?

A nurse is caring for a preschooler who has a partial-thickness burn on her right forearm. Which of the following findings should the nurse expect? (Select all that apply.)

The nurse is reviewing laboratory values for a patient receiving treatment during the emergent phase of burn management. Which laboratory result should the nurse expect for the patient at this time:

A nurse in a provider's office is caring for a client who has a new diagnosis of tinea pedis, which of the following findings should the nurse expect?

A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?