Question 1

A nurse is teaching mothers of preschoolers about how to prevent burn injuries. Which information should the nurse include in this teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

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

Question 2

A patient sustained a serious electrical burn when he stepped on a downed power line. The nurse would assess for which injuries? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

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

Question 3

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 4

The nurse is monitoring for development of renal failure in a patient who sustained a moderate burn injury. Which laboratory results would be cause for concern? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Elevated BUN (B) and creatinine (C) levels are indicative of renal dysfunction and could be a sign of renal failure. Total protein (C) and creatine kinase (D) levels are not specific indicators of renal function. Urine specific gravity (E) within normal range indicates concentration ability of the kidneys, but not necessarily their overall function.

Question 5

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

A wound infection can cause further damage to the already compromised tissues, potentially leading to a deeper, full-thickness burn injury.

Question 6

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 7

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 8

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? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

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

Question 9

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 choice, as it will help prevent infection and promote proper healing. Scrubbing the graft site with soap and water can cause damage to the graft and delay healing, performing range-of-motion exercises could cause the graft to become dislodged or damaged, and lifting the edges of the graft could also cause damage and delay healing.

Question 10

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? Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

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

Question 11

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 preferred choice for moderate to severe burn pain management. It is given intravenously for rapid onset and maximum pain relief. Fentanyl may also be used in some cases, but it is administered intravenously or transdermally and should not be given intramuscularly. Codeine and ibuprofen are not as effective in managing moderate to severe burn pain.

Question 12

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

The answer of A patient is severely burned over the...

Question 13

Which interventions would the nurse perform to help prevent bacterial translocation in a patient who has suffered a severe burn injury? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Administering glutamine and enteral feedings as ordered can help prevent bacterial translocation in burn patients. Glutamine is an amino acid that has been shown to support gut integrity, and enteral feedings can help maintain gut function and prevent gut atrophy. Administering potassium, monitoring arterial blood gases, and monitoring creatinine may be important for overall patient care but are not specific interventions for preventing bacterial translocation in burn patients.

Question 14

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 15

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

A nurse is teaching mothers of preschoolers about how to prevent burn injuries. Which information should the nurse include in this teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

A patient sustained a serious electrical burn when he stepped on a downed power line. The nurse would assess for which injuries? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.