A nurse is assessing a client who has sustained burns on the entire left arm and the anterior chest. Using the rule of nines, the nurse calculates what percentage of total body surface area is affected by the burns?
36%
18%
27%
9%
The Correct Answer is C
Left arm (entire): 9%
Anterior chest: 18%
Total: 9% + 18% = 27%
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A combination of benzodiazepines and topical anesthetics: This is not effective for the deep and constant pain experienced with burns.
B. The use of oral opioids: Absorption may be delayed or unpredictable in critically ill burn clients.
C. A patient-controlled analgesia (PCA) system: PCA provides rapid and individualized control of pain, which is essential in the acute phase.
D. Distraction and relaxation techniques: These are supportive, not primary, strategies for severe pain.
Correct Answer is C
Explanation
A. Hypomagnesemia: Magnesium levels are typically elevated in AKI due to reduced excretion.
B. Decreased creatinine level: Creatinine rises during the oliguric phase due to decreased filtration.
C. Hyperkalemia: Potassium accumulates in the blood during oliguria due to impaired excretion.
D. Increased glomerular filtration rate (GFR): GFR is decreased in AKI.
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