Question 1

A client has received a meshed split-thickness skin graft for coverage of a burn wound. The nurse would explain that the graft is meshed in order to

Accepted Answer

A)   allow fluid to escape from the wound.
B)   avoid the need for sutures to hold the graft in place.
C)   facilitate debridement of the wound.
D)   observe the wound more carefully.E) A) and B)
F) A) and C)

Question 2

The nurse would know that goals for the diagnosis Disabled Family Coping have been met when the family of a burn-injured client

Accepted Answer

A)   asks frequent questions of all the staff.
B)   begins to interact with the local burn support group.
C)   insists on participating in the client's care.
D)   only comes to visit when the client requests.E) A) and D)
F) None of the above

Question 3

Using the Curreri formula to compute daily caloric needs of a 200-pound client with a 20% burn, the nurse-practitioner would compute the client's daily caloric needs to be

Accepted Answer

A)  2272.
B)  2580.
C)  2872.
D)  3072.E) All of the above
F) A) and C)

Question 4

The physician orders 1% silver sulfadiazine cream applied to a client's burn wound two times daily. The nurse would be aware that this medication can affect

Accepted Answer

A)   blood pH.
B)   hemoglobin level.
C)   serum electrolyte levels.
D)   white blood cell count.E) A) and C)
F) B) and C)

Question 5

A severely burn-injured client is being discharged at the end of the week. Important interventions the nurse can provide to assist the client with re-integration into society include (Select all that apply)

Accepted Answer

A)   down-playing the appearance of the burned areas to prevent discouragement.
B)   encouraging the client to interact with people outside the hospital setting.
C)   making the client totally responsible for all physical care to improve confidence.
D)   role-playing potentially difficult social interactions with the client.E) All of the above
F) A) and D)

Question 6

The ambulatory pediatric nurse teaching parents about prevention of burn injury would emphasize that the leading cause of burn injury for toddlers is

Accepted Answer

A)   contact with scalding liquids.
B)   open flames, including space heaters.
C)   playing with matches.
D)   touching hot radiators.E) A) and C)
F) A) and B)

Question 7

A client was found unconscious in a burning wooden shed and is admitted to the intensive care unit. The client is tachypneic and restless, with a respiratory rate of 32 breaths/min. The client's oxygen saturation is 99%. The most appropriate action by the nurse is to

Accepted Answer

A)   administer morphine for both pain and anxiety control.
B)   apply oxygen at 2 L by nasal cannula.
C)   check the oximeter to see if it is working.
D)   request the physician order a carboxyhemoglobin level.E) A) and B)
F) A) and C)

Question 8

The nurse doing a home safety assessment would conclude that the client at highest risk for burns sustained from clothing ignition during meal preparation is

Accepted Answer

A)   an 18-month-old toddler.
B)   a 5-year-old child.
C)   a 15-year-old teenager.
D)   a 75-year-old adult.E) B) and D)
F) None of the above D

Question 9

The nurse caring for a burn client would monitor the client's stools for occult blood as assessment for development of

Accepted Answer

A)   bleeding caused by bowel distention.
B)   gastric irritation related to smoke.
C)   intestinal ileus.
D)   stress ulcers.E) B) and D)
F) B) and C)

Question 10

The nurse would stress to the ancillary staff that the most important means of preventing the spread of infection in the burn unit is

Accepted Answer

A)   prophylactic antibiotics.
B)   restricting visitors with respiratory tract infections.
C)   strict hand-washing.
D)   using clean gowns, gloves, and masks.E) A) and C)
F) A) and B)

Question 11

The nurse would explain to a client that when a major burn occurs, the body's initial systemic responses include

Accepted Answer

A)   elevated pulse rate, decreased cardiac output, and polyuria.
B)   increased capillary permeability, decreased cardiac output, and oliguria.
C)   plasma leakage into surrounding tissue, decreased hematocrit, and oliguria.
D)   production of epinephrine, vasodilation, and increased cardiac output.E) A) and C)
F) B) and C)

Question 12

To best meet the psychological needs of a burned client in the acute phase of burn care, the nurse would (Select all that apply)

Accepted Answer

A)   administer tranquilizers when the client is out of control.
B)   assist the client to control destructive behaviors.
C)   involve the family as much as they and the client desire and are able.
D)   offer factual information about the appearance of burns.
E)   provide an atmosphere that accepts emotional lability.F) B) and E)
G) None of the above

Question 13

A client admitted to the emergency department (ED)  with burns of the chest and neck exhibits a wet, shiny, weeping surface with some blistering. The nurse would document these burn injuries as

Accepted Answer

A)   full thickness, fourth degree.
B)   full thickness, third degree.
C)   partial thickness, second degree.
D)   superficial, first degree.E) A) and D)
F) All of the above C

Question 14

The nurse teaching a class on burn injury prevention would stress that the leading cause of fire deaths is

Accepted Answer

A)   children playing with matches.
B)   cigarettes igniting furniture.
C)   kitchen fires igniting other combustibles.
D)   space heaters igniting clothing.E) A) and B)
F) B) and C)

Question 15

The nurse would assure a family member that for the first 24 hours after a burn injury, pain is kept to a minimum by administering

Accepted Answer

A)   intravenous narcotic agents.
B)   liquid narcotics via a nasogastric tube.
C)   narcotics via an intramuscular route into nonburned tissue.
D)   tepid soaks and oral morphine.E) C) and D)
F) B) and D)

Question 16

When admitting a client who has sustained a burn injury, the nurse would inoculate against tetanus if the client has

Accepted Answer

A)   been inoculated in the last 6 years.
B)   open wounds with copious debris embedded.
C)   second-degree burns with broken blisters.
D)   third-degree burns.E) A) and B)
F) A) and C)

Question 17

When caring for a severely burned client, the nurse notes that the client's urine is dark brown. The priority action by the nurse would be to

Accepted Answer

A)   check the urinary catheter for patency and irrigate it if needed.
B)   monitor vital signs more frequently to detect hypovolemia.
C)   notify the physician immediately and request an order for urinalysis.
D)   titrate intravenous (IV)  fluids to maintain urine output of 75-100 ml/hour.E) A) and D)
F) B) and C)

Question 18

The nurse teaching a home safety course would emphasize that because of growth and development factors, toddlers are most at risk for burn injuries caused by

Accepted Answer

A)   cigarettes.
B)   electricity.
C)   flame.
D)   scald.E) A) and B)
F) B) and C) D

Question 19

A client's burn wound is being treated with enzymatic debridement. At this time the nurse would assess the client for

Accepted Answer

A)   allergic reactions.
B)   bleeding from the burn wound.
C)   increased fluid loss.
D)   serum electrolyte imbalances.E) B) and D)
F) A) and B)

Question 20

The older client is at greater risk of death following a burn because the older client (Select all that apply)

Accepted Answer

A)   does not have immunity to infections seen in burned clients.
B)   has a combination of age-related functional impairments.
C)   has thinner skin than a younger person does.
D)   may live alone without any social support.E) B) and D)
F) All of the above

Exam 50: Management of Clients with Burn Injury

A client has received a meshed split-thickness skin graft for coverage of a burn wound. The nurse would explain that the graft is meshed in order to

Correct AnswerverifiedShow Answer

The nurse would know that goals for the diagnosis Disabled Family Coping have been met when the family of a burn-injured client

Correct AnswerverifiedShow Answer

Using the Curreri formula to compute daily caloric needs of a 200-pound client with a 20% burn, the nurse-practitioner would compute the client's daily caloric needs to be

Correct AnswerverifiedShow Answer

The physician orders 1% silver sulfadiazine cream applied to a client's burn wound two times daily. The nurse would be aware that this medication can affect

Correct AnswerverifiedShow Answer

A severely burn-injured client is being discharged at the end of the week. Important interventions the nurse can provide to assist the client with re-integration into society include (Select all that apply)

Correct AnswerverifiedShow Answer

The ambulatory pediatric nurse teaching parents about prevention of burn injury would emphasize that the leading cause of burn injury for toddlers is

Correct AnswerverifiedShow Answer

A client was found unconscious in a burning wooden shed and is admitted to the intensive care unit. The client is tachypneic and restless, with a respiratory rate of 32 breaths/min. The client's oxygen saturation is 99%. The most appropriate action by the nurse is to

Correct AnswerverifiedShow Answer

The nurse doing a home safety assessment would conclude that the client at highest risk for burns sustained from clothing ignition during meal preparation is

Correct AnswerverifiedD

The nurse caring for a burn client would monitor the client's stools for occult blood as assessment for development of

Correct AnswerverifiedShow Answer

The nurse would stress to the ancillary staff that the most important means of preventing the spread of infection in the burn unit is

Correct AnswerverifiedShow Answer

The nurse would explain to a client that when a major burn occurs, the body's initial systemic responses include

Correct AnswerverifiedShow Answer

To best meet the psychological needs of a burned client in the acute phase of burn care, the nurse would (Select all that apply)

Correct AnswerverifiedShow Answer

A client admitted to the emergency department (ED) with burns of the chest and neck exhibits a wet, shiny, weeping surface with some blistering. The nurse would document these burn injuries as

Correct AnswerverifiedC

The nurse teaching a class on burn injury prevention would stress that the leading cause of fire deaths is

Correct AnswerverifiedShow Answer

The nurse would assure a family member that for the first 24 hours after a burn injury, pain is kept to a minimum by administering

Correct AnswerverifiedShow Answer

When admitting a client who has sustained a burn injury, the nurse would inoculate against tetanus if the client has

Correct AnswerverifiedShow Answer

When caring for a severely burned client, the nurse notes that the client's urine is dark brown. The priority action by the nurse would be to

Correct AnswerverifiedShow Answer

The nurse teaching a home safety course would emphasize that because of growth and development factors, toddlers are most at risk for burn injuries caused by

Correct AnswerverifiedD

A client's burn wound is being treated with enzymatic debridement. At this time the nurse would assess the client for

Correct AnswerverifiedShow Answer

The older client is at greater risk of death following a burn because the older client (Select all that apply)

Correct AnswerverifiedShow Answer

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D

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D

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