Deck 66: Caring for Clients With Burns

Question 1

A nurse is required to care for a client with facial burns who is prescribed the open method treatment. Which of the following nursing interventions should a nurse perform?

A) Administer a cold sponge bath to the client.
B) Keep the client's room cool and airy.
C) Place a bed cradle or sheets over the client.
D) Place the client on a moist linen sheet.

Answer 1

Place a bed cradle or sheets over the client.

Question 2

A client with burns has undergone skin grafting. Which of the following instructions should a nurse provide the client?

A) Avoid protein-rich foods for a period of time.
B) Avoid calcium-rich products for a period of time.
C) Restrict movement for a period of time.
D) Perform mild range-of-movement (ROM) exercises.

Answer 2

Restrict movement for a period of time.

Question 3

Which type of burn is similar to a sunburn?

A) Superficial
B) Partial-thickness
C) Deep partial-thickness
D) Full-thickness

Answer 3

Superficial

Question 4

Which of the following actions should a nurse perform to help reduce the accumulation of debris within the burn wound?

A) Use powder-free sterile gloves.
B) Use topical antimicrobial medications.
C) Use cold compresses or sponges.
D) Use sterilized gauze swaps.

Question 5

A client receiving emergency treatment for severe burns has just been assessed to establish the burn depth. Why is a nurse asked to reassess the burn depth after 72 hours?

A) It helps determine the percentage of the total body surface area (TBSA) that is burned.
B) The client's condition is likely to deteriorate after 72 hours.
C) The wound is susceptible to infections.
D) The early appearance of the burn injury may change.

Question 6

Which type of skin graft is more comparable in appearance to normal skin?

A) Lace graft
B) Full-thickness graft
C) Slit graft
D) Split thickness graft

Question 7

Skin grafts are necessary for which of the following burns?

A) Superficial
B) Superficial partial thickness
C) Full-thickness
D) First degree

Question 8

Which of the following clients with burns is more prone to infection and requires close monitoring by the nurse?

A) A client with burns involving the hands
B) A client with burns of the face and neck
C) A client with burns in the perineal area
D) A client with burns in the abdominal area

Question 9

Which type of debridement occurs when nonliving tissues sloughs away from uninjured tissues?

A) Mechanical
B) Natural
C) Enzymatic
D) Surgical

Question 10

Which of the following is a disadvantage of surgical debridement?

A) Scarring
B) Bleeding
C) Loss of function
D) Contractures

Question 11

A nurse is required to monitor the effectiveness of fluid resuscitation in a client who is being treated for burns. Which of the following assessments would indicate the success of the fluid resuscitation?

A) The client's heart rate is rapid.
B) The client's urinary output is 0.3 to 0.5 mL/kg/hour.
C) The client's breathing is unlabored and skin is clammy.
D) The client is conscious.

Question 12

A client with a burn injury is in acute stress. Which of the following complications is prone to develop in this client?

A) Anemia
B) Gastric ulcers
C) Hyperthyroidism
D) Cardiac arrest

Question 13

Which of the following is true regarding a split-thickness skin graft?

A) Split thickness grafts are less successful than other types of grafts.
B) Their cosmetic appearance are more desirable.
C) Hair is able to grow back from their surface.
D) The epidermis and a thin layer of dermis are harvested from the client's skin.

Question 14

Which of the following is the effect of protein catabolism in a client with severe burns?

A) It compromises wound healing and immunocompetence.
B) It compromises dexterity and mobility.
C) It maximizes the risk of sodium retention and hypotension.
D) It maximizes the risk of impaired ventilation.

Question 15

Which of the following is a true statement regarding the purposes of skin grafts?

A) Increases evaporative fluid loss.
B) Increases potential for infection.
C) Reduces scarring.
D) Prolongs recovery

Question 16

A client with superficial burns on the face and deep partial-thickness burns on the neck and chest undergoing treatment is anxious to know about skin grafting. For which of the following areas can skin grafting be suggested?

A) Face only
B) Face, neck, and chest
C) Face and neck
D) Neck and chest

Question 17

Which of the following skin substitutes is a nylon-silicone membrane coated with a protein derived from pig tissue?

A) Mederma
B) Integra
C) Transcyte
D) Biobrane

Question 18

Which of the following types of shock will a nurse observe in a client with extensive burns?

A) Anaphylactic shock
B) Neurogenic shock
C) Septic shock
D) Hypovolemic shock

Question 19

Which zone consists of the area where the injury is most severe and deepest?

A) Coagulation
B) Stasis
C) Hyperemia
D) Necrosis

Question 20

Which type of graft utilizes the client's own skin for wound coverage?

A) Heterograft
B) Allograft
C) Autograft
D) Slit graft

Question 21

Which of the following is a disadvantage of the open method of burn care?

A) Maintains a moist wound bed.
B) Promotes maintenance of body temperature.
C) Keeps skin folds separated.
D) Exposes wound to pathogens.

Question 22

The palm represents which percentage of a person's TBSA?

A) 1%
B) 5%
C) 10%
D) 15%

Question 23

Which of the following neuroendocrine change occurs within the first 24 hours of a serious burn?

A) Hypoglycemia
B) Sodium loss
C) Hyperglycemia
D) Polyuria

Question 24

Which of the following is a common complication of an electrical burn injury?

A) Localized edema
B) Absent bowel sounds
C) Loss of mobility
D) Cardiac dysrhythmias

Question 25

A client has burns to his anterior trunk and left arm. Using the Rule of the Nines, what is the TBSA burned?

A) 18%
B) 27%
C) 36%
D) 45%