Which nursing diagnosis takes priority for a 15-year-old child with third-degree burns of the hands, face, and chest?

Disturbed Body Image related to physical appearance

Ineffective Airway Clearance related to edema

Risk for Infection related to epidermal damage

Impaired Urinary Elimination related to fluid loss

Answer and Explanation

The Correct Answer is B

Choice A reason: While a disturbed body image can impact psychological well-being, it is not the immediate priority in the acute phase of burn management.

Choice B reason: Ineffective airway clearance due to edema from burns to the face and chest poses an immediate threat to life, requiring urgent attention to maintain breathing.

Choice C reason: The risk for infection is a significant concern due to epidermal damage; however, it follows airway management in terms of immediate priorities.

Choice D reason: Impaired urinary elimination may occur due to fluid shifts after burns, but ensuring effective airway clearance is the most critical initial step in care.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason: While headaches can be a symptom of high blood sugar, they are not as specific as other symptoms for diabetes.
Choice B reason: Asking about candy and sweets consumption is less relevant as type 1 DM is not caused by diet.
Choice C reason: Exercise is important for overall health but is not a diagnostic indicator of type 1 DM.
Choice D reason: This is the correct choice. Nocturia and bedwetting are common symptoms of type 1 DM due to excess urination caused by high blood sugar levels.

A. A 5-year-old who is unable to zip his own jacket. B. A 2-year-old who cannot recite her phone number. C. A 6-year-old who is unable to sit still for a short story. D. A 2-year-old who is unable to cut with scissors. E. An 18-month-old toddler who is unable to phrase sentences.

Correct Answer is C

Explanation

Choice A reason: This choice is incorrect. It is not unusual for a 5-year-old to have difficulty with zippers.
Choice B reason: This choice is incorrect. Reciting a phone number is not expected of a 2-year-old.
Choice C reason: This is one of the correct choices. A 6-year-old should be able to sit still for a short story, and difficulty doing so may indicate a developmental delay.
Choice D reason: This choice is incorrect. A 2-year-old typically does not have the fine motor skills to cut with scissors.
Choice E reason: This is one of the correct choices. An 18-month-old should be starting to phrase simple sentences, and the inability to do so may indicate a developmental delay.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which nursing diagnosis takes priority for a 15-year-old child with third-degree burns of the hands, face, and chest?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When admitting a child with suspected type 1 diabetes mellitus (DM), which of the following questions should the nurse ask the parents?

Correct Answer is D

Explanation

A nurse is conducting developmental assessments on several children in the day-care setting. Which two children does the nurse identify as having developmental delays?

Correct Answer is C

Explanation

The nurse is assessing a patient’s arteriovenous (AV) fistula. Which finding provides evidence of its normal function?

Which is the best nursing response to give a parent about contacting the physician regarding a 4-month-old infant with diarrhea?

Which nursing diagnosis takes priority for a 15-year-old child with third-degree burns of the hands, face, and chest?

At which stage of development are children able to understand the permanence of death?

The nurse understands that the type of precautions needed for children receiving chemotherapy is based on which side effect of chemotherapeutic medications?

Betty is a 9-year-old girl diagnosed with cystic fibrosis. Which of the following must you, as the nurse, keep in mind when developing a care plan for the child?

The nurse in a school clinic is caring for a 7-year-old girl who comes in for epistaxis. The nurse will initiate which of the following interventions? (Select the 2 responses that apply)

When planning care for a client newly diagnosed with open-angle glaucoma, the nurse identifies a priority nursing problem of visual sensory-perceptual alterations. This problem is based on which etiology?