Exam 17: Care of the Acutely Ill Burn Patient

A patient is admitted with a chemical burn caused by a malfunctioning oven-cleaner container. What should the nurse keep in mind about this type of burn? Select all that apply.

The nurse providing an overview of burns to a community group teaches the causes for thermal burns. What causes should the nurse include? Select all that apply.

A patient has a superficial partial-thickness burn over the anterior portion of the right lower leg. What care should the nurse plan for this patient? Select all that apply.

A patient complains of increased pain to the area of a third-degree burn covering the entire arm. The nurse suspects compartment syndrome. For which intervention should the nurse prepare the patient?

After the initial assessment of burn injuries, it is determined that the patient will be transferred to a burn center for care. What assessment finding contributed to this decision? Select all that apply.

The burn unit nurse teaches a new staff nurse the priority nursing actions during the resuscitation phase of burn management. Which statement made by the inexperienced nurse indicates a need for further teaching?

The nurse cares for a patient who was brought into the emergency department after being struck by lightning. This patient's injuries will most likely be to which body areas? Select all that apply.

Which assessment finding by the nurse would be suggestive of a minor burn?

The intensive care nurse assesses a patient for cardiovascular system changes related to a burn injury. Which findings are associated with a burn injury? Select all that apply.

What should the nurse teach a patient with a burn injury about skin changes that occur following a large burn?

The nurse suspects that a patient with 40% total body surface area burned is developing gastrointestinal problems. What did the nurse assess to make this clinical determination? Select all that apply.

The nurse cares for a patient who was in a house fire. The patient currently has a hoarse voice and has soot in the sputum. Over the next 24 hours, what might the patient experience as manifestations of a lower airway injury? Select all that apply.

A patient experiences high levels of anxiety following a house fire. The nurse should administer which medication to help reduce the anxiety?

A patient comes to the emergency department with thermal burns to the left arm and shoulder. Which finding requires immediate attention by the nurse?

The nurse assists with the initial debridement of a patient's burn wounds. What will be done during this debridement? Select all that apply.

A patient is admitted with burns to both legs and one arm after being electrocuted while replacing a transformer during a thunderstorm. Since these limbs appear mummified, which treatment should the nurse anticipate being prescribed for this patient?

A patient sustained burns to the following body areas: both upper anterior arms, both lower anterior legs, and the anterior face and neck. Using the rule of nines, what is this patient's total body surface area burned? Record your answer rounding to one decimal place.

In preparing a patient for the rehabilitation phase of burn management, which statement reflects understanding of discharge teaching following a 6-month hospitalization?

An alert patient at the scene of an explosion has a respiratory rate of 24 breaths per minute, a faint stridor, and soot on the face. The patient's heart rate is 120 beats per minute. Which action should be implemented first?

The nurse plans a burn prevention program for older persons at a neighborhood association meeting. Which visual aid should the nurse use to emphasize the most common cause of burn injuries in an older adult?