A nurse is caring for a preschooler with a partial-thickness burn on her right forearm. Which of the following findings should the nurse expect? (Select all that apply.).
Intact epidermis.
Dry surface.
Sensitive to touch.
Wound blanches with pressure.
Blisters.
Correct Answer : C,E
Partial-thickness burns can be described by redness, swelling, and blisters. The skin is usually reddened and may be sensitive to touch.
Choice A is not the answer because a partial-thickness burn affects both the outer layer of skin (epidermis) and the layer beneath it (dermis), so the epidermis would not be intact.
Choice B is not the answer because partial-thickness burns can have a moist
surface due to blistering.
Choice D is not the answer because blanching with pressure is not a common
finding for partial-thickness burns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Nursing care planning goals for a child with acute glomerulonephritis are directed toward the excretion of excess fluid through urination.
Monitoring fluid status is very important and daily weights are an effective way to monitor fluid retention, as weight gain is the earliest sign of fluid retention.
Choice B, Educating the parents about potential complications, is important but not the nurse’s priority.
Choice C, Place the child on a no-salt-added diet, which may be part of the treatment
plan but is not the nurse’s priority.
Choice D, Maintaining a saline lock, may be necessary for administering medications but is not the nurse’s priority.
Correct Answer is D
Explanation
Treatment of eczema may start with regular moisturizing and other self-care habits.
If these don’t help, a healthcare provider might suggest medicated creams that control itching and help repair skin.
Choice A is not correct because woolen clothes can irritate the skin and worsen
eczema.
Choice B is not correct because fabric softeners can irritate the skin and worsen
eczema.
Choice C is not correct because bubble baths can dry out the skin and worsen eczema.
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