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TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING 11TH EDITION BY HARDING Questions & Answers satisfaction guaranteed success ( CHAPTERS 21-29) latest update $20.49
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TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING 11TH EDITION BY HARDING Questions & Answers satisfaction guaranteed success ( CHAPTERS 21-29) latest update

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TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING 11TH EDITION BY HARDING Questions & Answers satisfaction guaranteed success ( CHAPTERS 21-29) latest update Test Bank MULTIPLE CHOICE 1. When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes that the skin is...

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TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING
11TH EDITION BY HARDING Questions & Answers
satisfaction guaranteed success ( CHAPTERS 21-29)
latest update

Test Bank
MULTIPLE
CHOICE
1. When assessing a patient who spilled hot oil on the right leg and foot, the
nurse notes that the skin is dry, pale, hard skin. The patient states that the
burn is not painful. What term would the nurse use to document theburn
depth?


a. First-degree skin destruction



b. Full-thickness skin destruction



c. Deep partial-thickness skin destruction
d. Superficial partial-thickness
skin destructionANS: B

With full-thickness skin destruction, the appearance is pale and dry or
leathery and the area is painless becauseof the associated nerve destruction.
Erythema, swelling, and blisters point to a deep partial-thickness burn.

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With superficial partial-thickness burns, the area is red, but no blisters are

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present. First-degree burns exhibiterythema, blanching, and pain.


DIF: Cognitive Level: Understand (comprehension)


TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity


2. On admission to the burn unit, a patient with an approximate 25% total
body surface area (TBSA) burn hasthe following initial laboratory results:

Hct 58%, Hgb 18.2 mg/dL (172 g/L), serum K+ 4.9 mEq/L (4.8 mmol/L),

and serum Na+ 135 mEq/L (135 mmol/L). Which action will the nurse
anticipate taking now?


a. Monitor urine output every 4 hours.



b. Continue to monitor the laboratory results.



c. Increase the rate of the ordered IV solution.



d. Type and crossmatch for a blood transfusion.



ANS: C


The patients laboratory data show hemoconcentration, which may lead to a

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