A nurse is assessing a severe burn patient and notes several…

A nurse is assessing a severe burn patient and notes several degrees of injury on the hand. When assessing the area depicted by the blue arrow, the nurse notes that the tissue is pale, capillary refill is absent, and the patient has no sensation when touched. The blue arrow is pointing at which zone of injury for this major burn injury?

The nurse completes a physical assessment on a patient with…

The nurse completes a physical assessment on a patient with Guillain–Barré syndrome. The patient is unable to move either of his legs against gravity; however, the nurse can feel slight muscle contractions with palpation. The right and left arms have full range of motion against full resistance. How should the nurse document the muscle grading of these assessment findings in the electronic health record (EHR)? Use the drop-down box to select the correct response for each item.  Left Upper Extremity:   Left Lower Extremity:   Right Upper Extremity:   Right Lower Extremity: