Question 1

The nurse is estimating the extent of burns on an adult patient just admitted to the emergency department. The patient has burns on both arms, the anterior trunk, and the right leg. The nurse estimates that _______ % of total body surface area is involved.

Accepted Answer

The answer of The nurse is estimating the extent of...

Question 2

A nurse is teaching mothers of preschoolers about how to prevent burn injuries. Which information should the nurse include in this teaching?. Select all that apply.

Accepted Answer

The answer of A nurse is teaching mothers of preschoolers...

Question 3

Which teaching would the nurse provide to the patient prescribed a pressure garment?

Accepted Answer

The answer of Which teaching would the nurse provide to...

Question 4

A patient has sustained a moderate burn injury and requires pain management. Which medication prescription should the emergency department nurse implement?

Accepted Answer

Morphine sulfate is the gold standard for pain relief in moderate to severe burn injuries. It can be given IV for faster onset of action and improved pain control. Fentanyl is also an option, but it is typically reserved for more severe pain or when morphine is contraindicated. Codeine is not recommended for burn pain, as it is not as effective and can cause respiratory depression. Ibuprofen is not strong enough for burn pain and should be avoided due to the risk of delayed wound healing.

Question 5

A patient has been brought to the emergency department by ambulance after sustaining major burns in a house fire. The nurse would anticipate that which therapies have been initiated?. Select all that apply.

Accepted Answer

The answer of A patient has been brought to the...

Question 6

The nurse explains to a family that it is not possible to determine the extent of a patient's burns after an accidental electrocution. What rationale does the nurse provide for this statement?.

Accepted Answer

The answer of The nurse explains to a family that...

Question 7

The patient is scheduled for a heterograft to cover a burn wound. How would the nurse explain the source of this graft?

Accepted Answer

A heterograft, also known as a xenograft, is a skin graft taken from a different species, such as pigs or cows.

Question 8

Which intervention should the nurse plan for a patient who has a sheet skin graft covering a burn on the forearm?

Accepted Answer

Using aseptic technique for all contact with the graft is the best intervention to prevent infection and promote healing. The graft site should not be scrubbed with soap and water as it may disrupt the healing process. Range-of-motion exercises may be contraindicated depending on the location and extent of the burn and graft. Lifting the edges of the graft may cause damage and should only be done if directed by the healthcare provider.

Question 9

What factor would the nurse evaluate as putting the patient at increased risk for converting a partial-thickness burn injury to a full-thickness injury?

Accepted Answer

Wound infections can delay healing and increase the risk of tissue damage, including conversion of a partial-thickness burn injury to a full-thickness injury.

Question 10

A patient sustained a serious electrical burn when he stepped on a downed power line. The nurse would assess for which injuries?. Select all that apply.

Accepted Answer

The answer of A patient sustained a serious electrical burn...

Question 11

A patient who weighs 132 pounds sustained a burn injury and is receiving fluid resuscitation. The nurse would evaluate adequate hydration if the patient is producing at least ________ mL of urine each hour.

Accepted Answer

The answer of A patient who weighs 132 pounds sustained...

Question 12

Which interventions would the nurse perform to help prevent bacterial translocation in a patient who has suffered a severe burn injury?. Select all that apply.

Accepted Answer

Administering glutamine and enteral feedings can help prevent bacterial translocation in patients who have suffered a severe burn injury by promoting gut barrier function and reducing the risk of gut-derived sepsis. Monitoring arterial blood gases and creatinine can be important for overall patient assessment but do not directly intervene in preventing bacterial translocation. Administering potassium would also not directly address bacterial translocation.

Question 13

A patient is severely burned over the neck, chest, both arms, and both legs. How should the nurse facilitate fluid resuscitation of this patient?

Accepted Answer

In cases of severe burns, it is crucial to initiate fluid resuscitation as quickly as possible. Large-bore IV catheters are preferred for rapid fluid administration, and they can be placed through burned areas if necessary, as delaying resuscitation can be life-threatening.

Question 14

An adult patient who weighs 220 pounds has been burned over 70% of the body. Using the Parkland/Baxter formula, the nurse would anticipate administering ______ mL of fluid in the second 8 hours after the patient was burned.

Accepted Answer

The answer of An adult patient who weighs 220 pounds...

Quiz 61: Caring for the Patient With Burn Injuries