A nurse is caring for a client who has sustained a gasoline burn to 25% of the body. Which of the following is a priority safety concern when caring for this client?

Elevation of the head of the bed by 30 degrees

Determining the amount of gasoline that the client encountered

Asking the client when they last ate a meal

Decontamination of the client

Answer and Explanation

The Correct Answer is D

A. Elevation of the head of the bed by 30 degrees: While elevation of the head of the bed may be necessary for certain medical conditions, it is not the priority concern in a client with a gasoline burn. Decontamination and assessment of the burn injury take precedence.

B. Determining the amount of gasoline that the client encountered: While it's important to gather information about the circumstances of the injury, including the amount of gasoline involved, this is not the priority concern at the immediate moment. Decontamination and assessment of the burn take precedence over obtaining historical information.

C. Asking the client when they last ate a meal: While assessing the client's nutritional status and potential need for dietary interventions is important, it is not the priority safety concern in the context of a gasoline burn. Decontamination and assessment of the burn injury are more critical at this time.

D. Decontamination of the client

When a client sustains a gasoline burn, the priority safety concern is to decontaminate the client. Gasoline can cause chemical burns and can be absorbed through the skin, leading to systemic effects. Therefore, it's crucial to remove any remaining gasoline from the client's skin and clothing to prevent further absorption and minimize the risk of complications.

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Correct Answer is C

Explanation

A. Superficial infections are caused by fungus.

While fungal infections can indeed cause superficial skin infections like tinea (ringworm) or candidiasis, they are not the common factor for the etiology and pathophysiology of folliculitis, furuncles, and carbuncles. These conditions primarily involve bacterial infections of the hair follicles, typically caused by Staphylococcus aureus bacteria.

B. Parasites get underneath the skin.

Parasitic infections can cause various skin conditions, but they are not the common factor for folliculitis, furuncles, and carbuncles. These conditions are specifically related to bacterial infections of the hair follicles rather than parasitic infestations.

C. Hair follicles are infected or inflamed.

This is the correct choice and the common factor for folliculitis, furuncles, and carbuncles. All three conditions involve the infection or inflammation of hair follicles, primarily due to Staphylococcus aureus bacteria. Folliculitis is the inflammation of one or more hair follicles, furuncles are deeper infections involving the hair follicle and surrounding tissue, and carbuncles are clusters of interconnected furuncles with deeper tissue involvement.

D. There is an allergic response to an allergen.

An allergic response to an allergen does not play a role in the etiology and pathophysiology of folliculitis, furuncles, and carbuncles. These conditions are primarily infectious in nature, involving bacterial colonization and subsequent inflammation of the hair follicles rather than an allergic response.

A. Elevated hemoglobin B. Decreased protein level C. Low bone density D. Increased muscle mass

Correct Answer is B

Explanation

A. Elevated hemoglobin:

Elevated hemoglobin levels are not typically associated with aging or factors that affect pressure injury healing. Hemoglobin levels primarily relate to blood oxygen-carrying capacity and are influenced by factors such as hydration status, kidney function, and certain medical conditions.

B. Decreased protein level:

This is a significant factor that can impact the ability of a pressure injury to heal in older adults. Decreased protein levels, specifically serum albumin and total protein, are common in aging individuals and can contribute to impaired wound healing. Protein is essential for tissue repair, collagen synthesis, and immune function.

C. Low bone density:

While low bone density (osteoporosis) is a concern in aging adults and can increase the risk of fractures, it is not directly related to the ability of a pressure injury to heal. However, bone density can indirectly impact wound healing if fractures or bone-related complications occur.

D. Increased muscle mass:

Increased muscle mass is generally beneficial for overall health and functional abilities in older adults. However, it is not directly related to the ability of a pressure injury to heal.

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A nurse is caring for a client who has sustained a gasoline burn to 25% of the body. Which of the following is a priority safety concern when caring for this client?

Nursing Test Bank

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What is the common factor for etiology and pathophysiology of folliculitis, furuncles, and carbuncles?

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