A patient received deep partial-thickness burns to the anterior trunk, perineum, and left posterior and anterior arm. Using the "Rule of nines," what is the percent of total body surface area (TBSA) that was burned?
18%
36%
40%
28%
The Correct Answer is D
Adding these percentages together:
- Anterior trunk: 18%
- Perineum: 1%
- Left anterior arm: 4.5%
- Left posterior arm: 4.5%
Total = 18% + 1% + 4.5% + 4.5% = 28%
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: During the emergent phase of burn management, patients commonly experience hemoconcentration due to fluid shift from the intravascular space to the interstitial space. This leads to an increase in hematocrit, indicating a higher concentration of red blood cells in the blood.
Choice B rationale: Burn injuries often result in increased protein breakdown and an elevation in BUN levels.
Choice C rationale: Burn injuries can cause the release of potassium from damaged cells, leading to hyperkalemia rather than hypokalemia.
Choice D rationale: The emergent phase of burn management is characterized by a decrease in serum albumin due to protein loss from the burned tissue and increased capillary permeability.
Correct Answer is A
Explanation
Choice A rationale: the epidermis which is the most superficial layer of the skin relies on the dermis for nutrition since it lacks its own blood supply.
Choice B rationale: adipose tissue is contained in the hypodermis which is part of the dermis layer of the skin and not the epidermis.
Choice C rationale: nerve fibers are contained in the dermis layer of the skin and not the epidermis.
Choice D rationale: blood vessels are contained in the dermis layer of the skin and not the epidermis.
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