A patient is admitted to the hospital with burns covering the anterior torso, anterior arms (bilateral), and anterior legs (bilateral). The nurse determines that the total body surface area (BSA) that is affected is:
• Using the rule of nines you can estimate the percentage of BSA affected.
• Anterior torso 18%
• Anterior leg, each 9%
• Anterior arm, each 4.5%
A patient is brought to the nursing unit after surgery for a mandibular fracture. When the patient complains of a runny nose, the nurse should first:
The nurse is assessing a patient in the emergency room due to chest pain. To determine whether the patient's pain is due to a myocardial infarction, the nurse should note the pain
The nurse is assessing a patient with arterial insufficiency. The patient
The nurse is educating a patient before a scheduled lumbar fusion. The nurse explains that after the surgery, the patient will have to maintain bedrest in which position?
The nurse is reviewing a physician's note describing the patient's pressure ulcer as stage III. What characteristics would the nurse expect to observe?
The nurse is assisting a patient with ambulation after a femur fracture. When educating the patient on safe walker use, the nurse should provide the following instructions:
A nurse is assessing a patient's goiter. Which should the nurse consider doing for the most accurate assessment?
The nurse reviews the culture results of a patient with osteomyelitis. The nurse would expect which organism to be the likely cause?
The nurse is providing discharge instructions to a patient that underwent a thyroidectomy. Which of the following should be included in the discharge instructions?
The nurse is teaching a patient with a leg cast and crutches to walk down a staircase. When descending stairs, the patient should first:
While bathing a patient, the nurse notes that the patient's cardiac monitor appears to reveal ventricular fibrillation (V-Fib). What is the nurse's priority action?
The client is prescribed digoxin for the treatment of heart failure. Which of the following statements made by the client indicates an understanding of the medication regimen?
A nurse on the cardiac step-down unit is caring for a patient who is recovering from a myocardial infarction and drug eluding stent placement. The nurse is preparing to educate the patient on the Dietary Approaches to Stop Hypertension (DASH) diet which includes which of the following recommendations?
A nursing student is reviewing the care plan for an 18-year-old female client with severe psoriasis. Which of the following are possible nursing diagnoses for this client?
The nurse is caring for a patient with unstable ventricular tachycardia (VT) who is undergoing immediate synchronized cardioversion. After two unsuccessful shocks, the patient becomes pulseless. What is the nurse's priority action?
A nurse on the cardiac telemetry floor is monitoring the electrocardiogram (EKG) of a patient admitted with an elevated heart rate. The nurse notes that the EKG shows an atrial rate of 300 with the P waves in a "saw-tooth" pattern. The AV conduction ratio is 3:1 with a ventricular response rate of 100. The nurse knows this rhythm is which of the following?
The nurse is teaching a patient about common verrucae skin tumors. The nurse should advise the client:
A definitive diagnosis of Alzheimer's disease (AD) requires histopathologic examination which is rarely done. Which tests will the nurse expect to be ordered to rule out other disorders?