What is the priority nursing diagnosis for a child with third-degree burns of the hands, face, and chest?

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Question 1 of 5

What is the priority nursing diagnosis for a child with third-degree burns of the hands, face, and chest?

Correct Answer: A

Rationale: Initially, the primary focus is on assessing and managing an effective airway. Body image disturbance, impaired urinary elimination, and infection are all integral parts of burn management but aren't the first priority.

Question 2 of 5

What is the most important action for the nurse to take when caring for a client with a nasogastric tube?

Correct Answer: A

Rationale: Checking placement regularly ensures the nasogastric tube is correctly positioned, preventing complications such as aspiration.

Question 3 of 5

What is the priority nursing action when caring for a client with a suspected pulmonary embolism?

Correct Answer: A

Rationale: Administering oxygen improves oxygenation, supporting vital organ function during a pulmonary embolism.

Question 4 of 5

Effective skin disinfection before a surgical procedure includes which of the following methods:

Correct Answer: D

Rationale: Showering with antiseptic soap before surgery (D) is the most effective method to reduce skin microorganisms. Shaving the day before (A) risks infection, topical antiseptic alone (B) is insufficient, and a tub bath (C) is less effective than showering.

Question 5 of 5

On review of her charting, the charge nurse notes that there is evidence of appropriate documentation when the new staff nurse:

Correct Answer: D

Rationale: Each entry should begin with the time and end with the signature and title of the person recording the entry.

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