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 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.
Correct Answer is B
Explanation
Choice A rationale: While age can influence the overall prognosis and response to treatment, the location of the burn is more critical in the immediate assessment of severity.
Choice B rationale: The priority when assessing the severity of burns is the location of the burn. Burns to certain areas, such as the face, neck, or major joints, can be more critical due to the potential for complications, including impairment of breathing, vision, or mobility. Burns to these areas may require prompt intervention and closer monitoring to ensure early mitigation of the above complications
Choice C rationale: While understanding the cause is important for prevention and future education, it is not the immediate priority in assessing the severity of the current burn.
Choice D rationale: While medical history may impact the overall treatment plan, it is not the primary factor in the initial assessment of burn severity.
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