Author Question: A patient comes to the clinic complaining of nausea and vomiting after spending the weekend at a ... (Read 134 times)

armygirl · **on:** Jun 25, 2018

A patient comes to the clinic complaining of nausea and vomiting after spending the weekend at a seaside resort. What should be the most important assessment for the nurse?

1. whether the patient is resting and sleeping normally
2. whether the patient is following a typical meal pattern
3. whether the patient had to change time zones when traveling to the resort
4. whether the patient has been sunburned

Question 2

A patient with third-degree burns to the face has just learned that there will be extensive scarring once the burn heals. For which patient problem should the nurse plan interventions?

1. Powerlessness
2. Infection
3. Lack of body fluids
4. Changes in airway maintenance

kaylee05 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 4
Sunburns result from exposure to ultraviolet light. Because the skin remains intact, the manifestations in most cases are mild and are limited to pain, nausea, vomiting, skin redness, chills, and headache. The patient did not report concerns that would support issues with sleep pattern, diet, and travel.

Answer to Question 2

Correct Answer: 1
The patient has no control over the outcome of healing or scar formation and is likely to feel powerless. The nurse should allow the patient to express these feelings as part of coping with the news of likely scarring on the face. The patient with a third-degree burn is at risk for infection; however, this question is focused on the impact of facial scarring. There is inadequate information to determine the patient's lack of body fluids or changes in airway maintenance.