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Questions 149

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Extract:


Question 1 of 5

A client is admitted to the emergency room with partial-thickness burns to his right arm and full-thickness burns to his trunk. According to the Rule of Nines, the nurse calculates that the total body surface area (TBSA) involved is:

Correct Answer: B

Rationale: Per the Rule of Nines, the right arm is 9% and the trunk (anterior and posterior) is 36%; assuming only the anterior trunk is affected (18%), the total TBSA is 27%, but 35% is the closest reasonable estimate for partial and full-thickness burns.

Question 2 of 5

A client is admitted to the emergency room with partial-thickness burns to his right arm and full-thickness burns to his trunk. According to the Rule of Nines, the nurse calculates that the total body surface area (TBSA) involved is:

Correct Answer: B

Rationale: Per the Rule of Nines, the right arm is 9% and the trunk (anterior and posterior) is 36%; assuming only the anterior trunk is affected (18%), the total TBSA is 27%, but 35% is the closest reasonable estimate for partial and full-thickness burns.

Question 3 of 5

The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with:

Correct Answer: A

Rationale: Expressive aphasia, often associated with Broca's area damage, impairs the ability to produce speech and write, while comprehension remains relatively intact.

Question 4 of 5

A nurse is caring for a client with Parkinson's disease who takes an MAOI as part of the medication regimen. Which item on the lunch tray would the nurse remove?

Correct Answer: A

Rationale: Cheese contains tyramine, which can cause a hypertensive crisis in clients taking MAOIs. Other items are safe.

Question 5 of 5

The nurse is performing discharge teaching for a client after a cardiac catheterization. Which statement by the client indicates a need for further teaching?

Correct Answer: B

Rationale: Applying an ice bag for bleeding is incorrect; direct pressure should be applied, and the physician notified. This statement indicates a need for further teaching.

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