Deck 51: Coordinating Care for Patients With Burns

Question 1

The nurse is preparing an educational tool to instruct community members on burn prevention.What should the nurse include as the most common injury in children under age 5?

A) Scald
B) Flame
C) Chemical
D) Carbon monoxide poisoning

Answer 1

Scald

Question 2

A patient with deep partial-thickness wounds is receiving enzymatic debridement.What assessment made by the nurse would indicate that wound care treatment has been successful?

A) Gray wound bed
B) Separation of eschar
C) Development of eschar
D) Presence of purulent exudate

Answer 2

Separation of eschar

Question 3

A patient with 55% total body surface area burned received two-thirds of the required fluid resuscitation.For which potential problem should the nurse prepare to provide care to this patient?

A) Increased zone of stasis
B) Increased zone of hyperemia
C) Increased zone of coagulation
D) Decreased zone of coagulation

Answer 3

Increased zone of coagulation

Question 4

A patient has full-thickness burns over 30% of total body surface area.Which intervention will least likely provide comfort initially to this patient?

A) Elevate injured extremities
B) Medicate for pain around the clock
C) Apply medicated ointment to all areas
D) Elevate the head of the bed 30 degrees

Question 5

A patient recovering from full-thickness burns rates pain as a 9 on a scale of 0 to 10 when hydrotherapy is performed.For which type of pain should this patient be treated?

A) Referred
B) Procedural
C) Background
D) Breakthrough

Question 6

It is documented that a patient has superficial partial-thickness burns over both anterior lower arms.What should the nurse expect when assessing this patient?

A) Dry with no blisters
B) Waxy appearance and cherry red in color
C) Dry leathery appearance and pale or brown in color
D) Open or closed blisters,mild edema,easily blanches

Question 7

A patient is admitted for a suspected inhalation injury.What should the nurse emphasize when caring for this patient?

A) Increase oral fluids
B) Turn in bed every two hours
C) Monitor strict intake and output
D) Deep breathing and coughing every hour

Question 8

The nurse is evaluating care provided to a patient with burns during the emergent phase.Which data indicates that additional fluid resuscitation is required?

A) Blood pH 7.39
B) Heart rate 112 bpm
C) Blood pressure 110/60 mm Hg
D) Central venous pressure 2 mm Hg

Question 9

A patient recovering from 25% total body surface area burns has a low-grade fever.What should the nurse do to reduce this patient's risk of developing an infection?

A) Follow contact precautions
B) Implement protective isolation
C) Use sterile technique for all dressing changes
D) Administer prophylactic antibiotics as prescribed

Question 10

A patient recovering from deep and full thickness burns is nauseated.Which medication should the nurse provide to help this patient?

A) Ranitidine (Zantac)
B) Esomeprazole (Nexium)
C) Metoclopramide (Reglan)
D) Polyethylene glycol (Miralax)

Question 11

The nurse is caring for a patient with 45% total body surface area thermal burns.Which laboratory value change would be expected?

A) Increased pH
B) Increased sodium
C) Increased potassium
D) Decreased hematocrit

Question 12

The nurse is caring for a patient with 50% total body surface area burns.Which finding indicates that burn shock is resolving?

A) Heart rate 112 bpm
B) Respirations 24 per minute
C) Blood pressure 90/60 mm Hg
D) Urine output 800 mL over 2 hours

Question 13

The nurse is caring for a patient with 70% total body surface area chemical burns.Which approach should the nurse anticipate to meet this patient's nutritional needs?

A) Parenteral nutrition
B) Duodenal tube feedings
C) Nasogastric tube feedings
D) Six small high-calorie meals per day

Question 14

A victim of a house fire is brought to the emergency department for burn treatment.What assessment finding indicates that the patient may have an inhalation injury?

A) Coughing
B) Soot on the face
C) Singed facial hair
D) Heart rate 98 bpm

Question 15

The nurse is caring for a patient who sustained electrical burns.Why should the nurse monitor this patient for compartment syndrome?

A) Potential for undiagnosed injuries
B) Injuries from being thrown bruise soft tissue
C) Electrical current alters integrity of blood vessels
D) Fluid seeps from intravascular spaces into the interstitium

Question 16

The nurse is evaluating nutritional teaching provided to a patient recovering from 24% total body surface area burns.Which information indicates that teaching has been effective?

A) Weight loss 3 kg
B) Serum protein level 7.1 g/dL
C) Serum albumin level 2.8 g/dL
D) +1 pitting edema of lower extremities

Question 17

The nurse is assisting with the secondary survey of a patient with 50% total body surface area electrical burns.Which test would be a priority for this patient?

A) Chest x-ray
B) Bronchoscopy
C) CT scan of the head
D) 12-lead electrocardiogram

Question 18

A patient comes into the emergency room seeking treatment for radiation burns.What should be considered prior to providing care to this patient?

A) Pathway of flow through the body
B) Duration of contact with the agent
C) Type,dose,and length of exposure
D) Temperature to which the skin is heated

Question 19

A patient with several deep partial-thickness burns asks how long it will take for the burn to heal.What should the nurse respond to this patient?

A) "More than two weeks."
B) "Within one to two weeks."
C) "Within 24 to 72 hours."
D) "You will need skin grafts."

Question 20

A victim of a car fire is confused,dizzy,and nauseated.What diagnostic test should be done to determine if this patient is experiencing carbon monoxide poisoning?

A) Chest x-ray
B) Bronchoscopy
C) Pulse oximeter
D) Carboxyhemoglobin level

Question 21

A patient is ending the first year of recovery after having burns to both legs.Which observation indicates that the patient needs to be encouraged to wear the pressure garment?

A) Skin warm and moist
B) Pedal pulses present but faint
C) Scattered areas of scarring noted
D) Nonpitting edema of both ankles

Question 22

An 11-year-old child received burns over both upper and lower arms,both hands,anterior upper and lower legs,anterior chest,and the neck.Using the following as a guide,what is this child's total body surface area burned? Text Figure 51.8

A) 30 %
B) 42 %
C) 57 %
D) 65 %

Question 23

A patient with 35% total body surface area burns is in the rehabilitative phase of care.Which approach should be used to reduce the risk of developing contractures?

A) Apply splints
B) Physical therapy two hours a day
C) Passive range of motion exercises
D) Occupational therapy one hour every other day