Final Exam^359
- Nursing actions related to the application of biologic or synthetic skin cover-
ings for a child with partial-thickness burns of both legs include which of the
following?
a. Immobilize legs to prevent movement
b. Observe burn area for signs of infection
c. Monitor closely for signs of cardiovascular shock
d. Assess dressings for indications of tissue overgrowth - A mother rushed her daughter to the ED claiming they were in the woods today
for the first time in years and she thinks her daughter contracted Lyme disease.
What is your best response?
a. Tell me how it makes you feel that your daughter may have deer tick bites.
b. Bring your daughter back in 3 days and we can tell if the bacterium that causes
Lyme disease was transmitted to your daughter.
c. Let’s examine your daughter for deer tick bites. It takes up to 72 hours before the
bacterium that causes Lyme disease is transmitted to your daughter.
d. It is unlikely your daughter has the bacterium that causes Lyme disease unless she
has been in contact with a child or adult who is infected with Lyme disease. - A clinic nurse assesses a 1-year-old and notes small moist, circular eruptions on
the child’s arms. The nurse knows that further investigation is needed because
the lesions could be a sign of what condition? Choose all that apply.
a. Impetigo
b. Ringworm
c. Cigarette burns
d. Eczema - A pediatric client, who has been treated for anemia, has a hemoglobin level of
11.2 g/dL, down from an earlier finding of 12.2 g/dL. Which intervention by the
nurse is most appropriate?
a. Notify the physician to get orders for a blood transfusion.
b. Advise the client to remain on bed rest.
c. Instruct the client on a diet that is high in iron.
d. Assess the client for symptoms of anemia. - Which laboratory test should a nurse monitor to determine if a client is
responding to the administration of iron for iron deficiency anemia?
a. Eosinophils
b. Monocytes
c. Reticulocytes
d. Lymphocytes