CMSRN Medical-Surgical Nursing

Category - Hematological

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Clara is a 37-year-old cook. She is admitted for treatment of partial and full-thickness burns of her entire right lower extremity and the anterior portion of her right upper extremity. Her respiratory status is compromised and she is in pain and anxious. Performing an immediate appraisal, using the rule of nines, the nurse estimates the percent of Clara’s body surface that is burned is:

4.5%
9%
18 %
22.5%

Explanation

Answer - D - The nurse estimates that 22.5% of Clara’s body surface is burned. The entire right lower extremity is 18% the anterior portion of the right upper extremity is 4.5% giving a total of 22.5%.

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