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.)
Blisters
Wound blanches with pressure
Dry face
Intact epidermis
Sensitive to touch
Correct Answer : A,B,E
Choice A rationale: partial-thickness burns are usually characterized by the formation of blisters as a result of increased capillary permeability resulting in edema formation separating the epidermis from the dermis.
Choice B rationale: wound blanching with pressure is expected in partial-thickness burns due to compromised blood circulation.
Choice C rationale: This is not a typical finding in a partial-thickness burn.
Choice D rationale: this is incorrect since partial-thickness burns involve damage to the epidermis.
Choice E rationale: nerve endings are damaged in partial-thickness burns thus making the area sensitive to touch.
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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 A
Explanation
Choice A rationale: A superficial wound with no exudate (fluid drainage) can benefit from a film dressing. Film dressings are transparent, adhesive, and provide a protective barrier while allowing visualization of the wound. They are suitable for wounds with minimal or no drainage.
Choice B rationale: Foam dressings are often used for wounds with moderate to heavy exudate. They provide absorption and insulation but may not be the best choice for a wound with no exudate.
Choice C rationale: Alginate dressings are absorbent and suitable for wounds with moderate to heavy exudate. They may not be necessary for a superficial wound with no drainage.
Choice D rationale: Hydrofiber dressings are absorbent and can handle moderate to heavy exudate. Like alginate dressings, they may not be the most appropriate choice for a wound with no exudate.
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