Based on the data of a 36-year-old female with bilateral leg burns with a white and leather-like appearance, how should the nurse categorize this client's injuries?

Correct Answer: C

Rationale: The correct answer is C: Full thickness. This categorization is based on the description of white and leather-like appearance, indicating complete destruction of the epidermis and dermis layers. This type of injury is characteristic of full-thickness burns, also known as third-degree burns. Partial-thickness deep burns (A) involve damage to the dermis but not the full thickness, while partial-thickness superficial burns (B) only affect the epidermis and part of the dermis. Superficial burns (D) are limited to the epidermis only. The specific description of the burns in this case clearly aligns with full-thickness burns, making choice C the most appropriate categorization.

Correct Answer: D

Rationale: The correct answer is D: Ask the patient to describe the impact of psoriasis on quality of life. This is the first action the nurse should take to understand the patient's perspective, feelings, and how psoriasis is affecting their daily life. By doing so, the nurse can assess the severity of the social withdrawal and emotional impact, which can guide further interventions. Choice A is incorrect because enrolling in a worker-retraining program does not address the immediate social withdrawal and emotional impact due to psoriasis. Choice B is incorrect as encouraging the patient to volunteer for community projects may not be suitable or effective in addressing the patient's current emotional distress. Choice C is incorrect because suggesting cosmetics to cover the lesions only focuses on the physical appearance and does not address the underlying emotional and social issues.

Correct Answer: B

Rationale: The correct answer is B because turning immobile clients every two hours is crucial for preventing pressure ulcers. The UAP asking for a meal break before turning the clients neglects their safety and well-being. Choice A is incorrect because elevating the head of the bed for a client who can feed themselves is appropriate. Choice C is incorrect as restocking unsterile gloves is not an urgent issue. Choice D is incorrect because mixing Thick-It into water for a client with swallowing difficulties is within the UAP's scope of practice.

Correct Answer: B

Rationale: The correct answer is B: Maintain a cool environment. This is the most appropriate intervention for a client with acute pain and itching from bacterial skin lesions. Cooling the environment helps alleviate discomfort by reducing inflammation and itching. Keeping humidity low (choice A) may exacerbate dryness and itching. Using mild soap (choice C) is important for skin care but does not directly address pain and itching from bacterial lesions. Applying skin lotion (choice D) may provide temporary relief but does not address the root cause of the symptoms. Maintaining a cool environment is the most effective intervention to provide immediate comfort and promote healing for the client.

Correct Answer: A

Rationale: The correct answer is A because asking when the client first noticed the skin problem helps determine the onset and progression of the condition. This information is crucial for diagnosis and treatment planning. Choice B is incorrect as it focuses on external factors rather than the client's symptoms. Choice C is irrelevant unless the client presents with specific sensory issues. Choice D is unrelated to the client's skin concern and does not aid in assessing the skin problem.