1. A nurse is assessing the skin of a client who has frostbite. The client has small
blisters that contain blood, and the skin of the affected area does not blanch. The
nurse should classify this injury as which of the following?
a. First-degree frostbite
b. Second-degree frostbite
c. Third-de...
ATI Advanced Med -Surg Exam with Co mplete Solution 2023 Rated A+ Dermatological: 1. A nurse is assessing the skin of a client who has frostbite. The client has small blisters that contain blood, and the skin of the affected area does not blanch. The nurse should classify this injury as which of the following? a. First -degree frostbite b. Second -degree frostbite c. Third -degree frostbite d. Fourth -degree frostbite 2. A nurse in the emergency department is caring for a client who has a snakebite on her arm. Which of the following interventions should the nurse implement? a. Immobilize the limb at the level of the heart b. Apply a tourniquet to the affected limb c. Use a sterile scapula to incise the wound d. Apply ice to the skin over the snakebite wound 3. A nurse is caring for an adolescent client who has burn wounds on her face and hands. Which of the following statements by the client indicates that she has adapted to her changed body image? a. “May I go with my family to the visitor’s lounge?” b. “I’ll see my friends when I get home” c. “My dad is coming to visit. Can you fix my hair for me?” d. “I told my cousins I’m in protective isolation.” 4. A nurse is assessing a client who is bedridden and was admitted from home. The nurse notes a shallow crater in the epidermis of the client’s sacral area. The nurse should document that the client has a pressure ulcer at which of the following stages? a. IV b. I c. III d. II 5. A nurse is teaching a client who has extensive deep partial - and full- thickness burns and requires a topical antimicrobial medication. The goal of this medication therapy is to reduce which of the following outcomes? a. Bacterial growth b. Scarring c. Skin graft size d. Pain 6. A nurse is planning care for a client who has deep partial -thickness and full - thickness thermal burns over 40% of his total body surface and is in the acute phase of burn injury. Which of the following interventions should the nurse include in the plan? a. Initiate range -of-motion exercises b. Use clean technique to provide wound care c. Place the client on a low-protein diet
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