The nurse is determining if the rule of nines can be used to ...

[Yolanda]

The nurse is determining if the rule of nines can be used to estimate the extent of an adult client's burn injuries. For which reason would this approach be questioned? (Select all that apply.)
 
  1. The client is old.
  2. The client is thin.
  3. The client is short.
  4. The client is obese.
  5. The client is unconscious.

Question 2

The nurse is observing a client with major burn injuries for signs of Curling ulcer, a common complication. The nurse should assess the client for:
 
  1. frequent headaches.
  2. black, tarry stools.
  3. hypertension.
  4. purulent drainage from wound sites.

[josephsuarez]

Answer to Question 1

Answer: 2, 3, 4

1. The rule of nines can be used for an older client.
2. The rule of nines is a way to estimate the percentage of total body surface area (TBSA) affected by a burn injury. This quick method is useful in emergency situations, but it is not accurate for adults who are very thin.
3. The rule of nines is a way to estimate the percentage of TBSA affected by a burn injury. This quick method is useful in emergency situations, but it is not accurate for adults who are short.
4. The rule of nines is a way to estimate the percentage of TBSA affected by a burn injury. This quick method is useful in emergency situations, but it is not accurate for adults who are obese.
5. The rule of nines can be used for a client who is unconscious.

Answer to Question 2

Answer: 2

1. Headaches are not associated with Curling ulcer.
2. Black, tarry stools would be indicative of GI bleeding from the ulcer.
3. Hypertension is not associated with Curling ulcer.
4. Wound drainage is not associated with Curling ulcer.

[Yolanda]

Excellent

[Missbam101]

Gracias!