A nurse uses the rule of nines to assess a client with burn injuries to the entire back region and left arm. How should the nurse document the percentage of the client's body that sustained burns?

Correct Answer: C

Rationale: The rule of nines divides the body into regions each representing 9% or multiples of 9% for adults. The back region is approximately 18% and the left arm is 9%. So, the total percentage of the body with burns is 18% + 9% = 27% (Choice C). The other choices are incorrect as they do not accurately represent the percentage of body surface area affected by burns based on the rule of nines.

Correct Answer: C

Rationale: The correct answer is C because applying a thick layer of corticosteroid cream can lead to overuse and potential side effects such as skin thinning. The optimal amount of cream should be applied thinly to the affected area. Choice A is correct as tepid baths can help soothe the skin before application. Choice B is correct as spreading the cream in a downward motion aligns with the direction of hair growth. Choice D is incorrect as covering the area with a dressing can enhance the absorption of the cream and improve its effectiveness.

Correct Answer: D

Rationale: The correct answer is D because lift pads help prevent friction shearing when repositioning an immobile client. Friction shearing occurs when two surfaces rub against each other, causing damage to the skin and underlying tissues. Lift pads provide a smooth surface that reduces friction, minimizing the risk of skin breakdown and pressure ulcers. Choice A is incorrect because lift pads are not designed to absorb bodily fluids. Choice B is incorrect because lift pads do not prevent diaphoresis (excessive sweating). Choice C is incorrect because the primary purpose of lift pads is not to prevent workplace injuries for staff, although they may contribute to reducing the risk of musculoskeletal injuries.

Correct Answer: C

Rationale: The correct answer is C: "Have you been deer hunting in the last week?" This question is the most appropriate because the client's symptoms of fever, chills, headache, patchy macular rash, and circular rash resembling an insect bite could indicate Lyme disease, which is commonly transmitted through deer ticks. By asking about deer hunting, the nurse can gather crucial information about potential exposure to ticks in the environment. Summary of why the other choices are incorrect: A: "Do you own dogs that stay in the yard?" - Owning dogs may be relevant for exposure to ticks but does not specifically address the client's recent activities that could have led to tick exposure. B: "Have you been working in your garden lately?" - While gardening can also lead to tick exposure, it is not as directly related to the specific symptoms presented by the client in this case. D: "Do you use sunscreen when you are outside?" - Sunscreen use is not relevant to the symptoms described and does

Correct Answer: C

Rationale: The correct answer is C because periorbital skin lesions could indicate a serious issue like an infection or skin condition that requires immediate attention to prevent complications. Assessing this client first is crucial to address potential health risks. Choice A is not the priority as not having a bowel movement today may not be an urgent concern if the client is not experiencing discomfort or other symptoms. Choice B could be important but changing an indwelling catheter can typically wait a bit longer without immediate harm. Choice D, a stage I pressure ulcer, is concerning but usually does not require immediate attention compared to a potential skin infection indicated by periorbital lesions.