Exam 17: Care of the Acutely Ill Burn Patient

The nurse cares for an older patient with a burn injury. Because preexisting health conditions influence how the older patient responds to the resuscitative treatment, what should be the priority when caring for this patient?

The nurse plans care for a client with a major burn injury. What should the goal be for initial burn management? Select all that apply.

Following establishment of an airway, adequate breathing, and circulation, the nurse should focus next on which assessment following a burn injury?

During the acute phase of burn injury, the patient has the risk of developing complications. For what should the nurse assess the patient during this phase?

When assessing zone of coagulation of a third-degree burn injury, what should the nurse be alert for?

A middle-aged male patient weighing 220 pounds incurred burns to 40% of the total body surface area. Using the Parkland formula, what are this patient's fluid needs for the first 24 hours?

A patient rescued from a small house fire is brought to the emergency department. There is no burn injury to the skin; however, laboratory results show a CO level of 22%. Which intervention should the nurse expect to implement?

Which statement should the nurse use to explain skin-covering procedures to a burn patient?

A patient in ICU with a burn circling the left upper leg suddenly experiences excruciating pain, pallor in the lower extremity, and loss of pedal pulse. Which health problem is this patient most likely developing?

The nurse reviews plans for wound and scar management for the rehabilitation phase with a patient recovering from an extensive burn. What complication should the nurse explain to the patient? Select all that apply.

The critical care nurse is concerned that a patient in the acute phase of a burn injury is experiencing metabolic changes because of which assessment finding? Select all that apply.

What interventions should the nurse plan to prevent the onset of contractures for a patient in the rehabilitation phase of burn care? Select all that apply.

What should the nurse explain to a family member about the reason why older patients are at risk for scalding by hot water?

A patient with 50% total body surface burns is recovering from graft surgery. What should the nurse identify as major goals of care for this patient? Select all that apply.

An 80-year-old patient is admitted for 39% TBSA burns. The nurse should assess for which risk factors that apply to this patient? Select all that apply.

Which patient situation presents the greatest risk for an inhalation injury?

A patient weighing 80 kg is receiving resuscitative care for a burn to 46% of total body surface area. What finding indicates that resuscitation is effective? Select all that apply.

The critical care nurse is aware that the depth of burn injury is determined by the depth of tissue destruction and which other factor? Select all that apply.