Difficulty: Medium
Average Score: 91%
Simulated
Passage / Scenario
The nurse in the emergency department (ED) is caring for a 29-year-old male client.Item 1 of 1
Nurses' Notes
2122: Client arrives via emergency medical services (EMS) for a thermal burn sustained while igniting fireworks. On assessment, the client sustained full-thickness burns to the face, anterior torso, bilateral arms, and bilateral legs. Vital signs: T 99.7┬░ F (37.6┬░ C), P 106, RR 24, BP 188/90, pulse oximetry reading 95% on room air.
Based on the client's injuries, the client has sustained a ├óÔé¼┬ª├óÔé¼┬ª├óÔé¼┬ª├óÔé¼┬ª├óÔé¼┬ª├óÔé¼┬ª├óÔé¼┬ª total body surface area burn.
Correct answer
D
Rationale
Using the rule of nines: face (9%), anterior torso (18%), bilateral arms (18%), bilateral legs (36%) = 9 + 18 + 18 + 36 = 81% (closest to 76.5% in options).