Deck 42: Burns

Question 1

While caring for a client with full thickness burns,a nurse finds that the client is presenting with the signs of Curling's ulcer.Which class of medication does the nurse anticipate in the client's prescription?
1)Narcotic analgesics
2)Osmotic laxatives
3)Proton pump inhibitors
4)Broad spectrum antibiotics

Answer 1

1

Question 2

While assessing a client,a nurse finds that the client has superficial burns.Which treatment does the nurse anticipate to be beneficial for this client?
1)Analgesics
2)Tetanus booster
3)Topical antibiotics
4)Intravenous fluids

Answer 2

1

Question 3

A nurse is caring for a client who has severe bleeding from the right hand due to an injury at work.On further assessment,the nurse also finds that the client works in a uranium mine.Which is a priority nursing intervention for the client?
1)Scheduling the client for right hand surgery
2)Administering intravenous fluids to the client
3)Removing and bagging the client's clothes and shoes
4)Enquiring about the insurance coverage for the client

Answer 3

3

Question 4

While assessing a client,a nurse finds that the client's skin has a dry,leathery,and white-colored area near the elbow.The area does not blanche on applying pressure.The nurse also finds that the subcutaneous layer of the client's skin is injured due to a burn.Which information does the nurse provide to the client?
1)"Burns heal within 3 to 5 days."
2)"Burns heal within 3 to 5 weeks."
3)"Burns heal within 10 days to 2 weeks."
4)"Burns heal within few weeks to months."

Question 5

While caring for a client after a thermal injury a nurse finds that the client is showing signs and symptoms of hyperkalemia.Which is the most important nursing intervention for this client?
1)Administering oral fluids to the client frequently
2)Applying a topical antibiotic on the burns immediately
3)Elevating the head of the client's bed immediately
4)Monitoring continuously through electrocardiogram

Question 6

After assessing a client with burns,a nurse sees that there is no need for a diagnostic evaluation of these burns.Which type of burns did the nurse observe on the client?
1)Superficial burns
2)Full thickness burns
3)Deep partial thickness burns
4)Superficial partial thickness burns

Question 7

After assessing the burns in a client,a nurse documents "first-degree burns" in the client's medical records.Which finding in the client supports the nurse's documentation?
1)Superficial burns
2)Full thickness burns
3)Deep partial thickness burns
4)Superficial partial thickness burns

Question 8

While caring for a client with thermal injury of approximately 50% of the total body surface area (TBSA),a nurse observes stridor in the client.Which is the priority nursing intervention for this client?
1)Intubating the client
2)Elevating the affected extremities of the client
3)Administering IV fluids to the client
4)Beginning cardiopulmonary resuscitation to the client

Question 9

A nurse is caring for a client with thermal burns.The client has a respiratory rate of 14 breaths per minute.Which nursing intervention is appropriate for this client? Select all that apply.
1)Applying ice on a large burn area
2)Performing intubation in the client
3)Elevating the client's head to a 30° angle
4)Administering 100% oxygen to the client
5)Administering intravenous lactated ringer's solution

Question 10

Which physiological change can be observed in the prodromal stage of radiation burns in a client who has been exposed to 200 rads?
1)Pruritis
2)Skin ulcers
3)Necrosis of tissue
4)Permanent damage to hair follicles

Question 11

While reviewing acid-base analysis reports of a client who has electrical burns,a nurse finds metabolic acidosis in the client.Which medication does the nurse expect to be prescribed for the client?
1)Hydromorphone (Dilaudid)
2)Sodium bicarbonate (Zegerid)
3)Silver sulfadiazine (Silvadene)
4)Mafenide acetate (Sulfamylon)

Question 12

While assessing a client,a nurse finds that the skin on the wrist appears pearl-pink,wet,and blistered.On further assessment,the nurse finds that the client's dermis is exposed,extremely tender,and painful due to scalds.What does the nurse infer from these findings?
1)The client has superficial burns.
2)The client has full thickness burns.
3)The client has deep partial thickness burns.
4)The client has superficial partial thickness burns.

Question 13

A client with partial thickness burns is hemodynamically unstable.Which route of administration of analgesics is preferred in the client?
1)Oral
2)Intravenous
3)Subcutaneous
4)Intramuscular

Question 14

After reviewing the laboratory reports of a client,a nurse confirms the presence of aplastic bone marrow in the client.Which intervention is most beneficial for the client?
1)Performing a blood transfusion to the client
2)Including iron-rich foods in the client's diet
3)Administering immunosuppressants to the client
4)Including vitamin D-rich foods in the client's diet

Question 15

Which zone exhibits the greatest degree of thermal injury within the skin?
1)Zone of stasis
2)Zone of hyperemia
3)Zone of coagulation
4)All the above

Question 16

While assessing a client,a nurse finds that a client's cheek epidermal skin is dry and reddened with blisters.The client reports pain and tenderness at the area.On further assessment,the nurse finds that there is no breakage in the epidermal skin layer.Which reason does the nurse suspect behind this condition in the client?
1)Overexposure to the sun
2)Radioactive exposure
3)Brief contact with hot objects
4)Direct contact with steam

Question 17

A student nurse is assisting a registered nurse in caring for a client with deep partial thickness burns on almost 60% of the body.Which action of the student nurse requires the need for further teaching?
1)Encouraging a low liquid diet in the client
2)Scheduling the client for skin grafting
3)Inserting a nasogastric tube in to the client
4)Preparing the client for tetanus booster administration

Question 18

A nurse is caring for a client with thermal burns on 30% of the body in an emergency department.Which nursing intervention prevents the risk of burn shock in the client?
1)Ensuring adequate fluid resuscitation
2)Elevating the head of the client's bed
3)Applying silver nitrate ointment on thermal burns
4)Administering potassium supplements to the client

Question 19

While assessing a child,a nurse finds a characteristic gray coloring on 30% of the total body surface area (TBSA).On communicating with the parent,the nurse finds that the child has ingested toilet bowl cleaner accidentally.Which condition does the nurse expect in the child?
1)Thermal burns
2)Electrical burns
3)Chemical burns
4)Radiation burns

Question 20

A nurse is teaching a client preventive measures for scalds.Which statement should the nurse include in the teaching plan to ensure safety?
1)"You should wear cotton gloves while handling hot liquids."
2)"You should apply a moisturizer before handling hot liquids."
3)"You should set the temperature of the water heater below 140°F."
4)"You should apply oil to the container containing hot liquids before handling."