A 6-year-old boy has been admitted to the hospital with burns. ...

[karlynnae]

A 6-year-old boy has been admitted to the hospital with burns. The nurse notes carbonaceous sputum. Which of the following would be the priority?
 
  A) Determining the burn depth
  B) Eliciting a description of the burn
  C) Estimating burn extent
  D) Ensuring a patent airway

Question 2

A nurse is caring for a 5-year-old in Buck traction. When conducting a skin examination for signs of pressure ulcers, the nurse pays particular attention to which area?
 
  A) Sacral area
  B) Hip area
  C) Occiput
  D) Upper arm

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Answer to Question 1

D
Feedback:
Carbonaceous sputum is a sign of potential airway injury due to smoke inhalation. Therefore, the nurse should ensure a patent airway while obtaining a brief history and simultaneously evaluating the child and providing emergency care. If the burn does not pose an immediate, life-threatening risk, the nurse would obtain an in-depth history and elicit a description of the burn. Determining the burn depth and extent are part of the secondary survey.

Answer to Question 2

C
Feedback:
Common sites of pressure ulcers in hospitalized children include the occiput and toes, while children who require wheelchairs for mobility demonstrate pressure ulcers in the sacral or hip areas more frequently. The upper arm is not a common site for pressure ulcers.