Question 1

Patients with burns may have mesh grafts or sheet grafts.Which of the following sites is most likely to have a sheet graft applied?

Accepted Answer

A)  Arm 
B)  Face 
C)  Leg 
D)  Chest 
A)  Arm 
B)  Face 
C)  Leg 
D)  Chest

Question 2

When paramedics notice singed hairs in the nose of a burn patient,it is recommended that the patient be intubated.What is the reasoning for the immediate intubation?

Accepted Answer

A)  Carbon monoxide poisoning always occurs when soot is visible. 
B)  Inhalation injury above the glottis may cause significant edema that obstructs the airway. 
C)  The patient will have a copious amount of mucus that will need to be suctioned. 
D)  The singed hairs and soot in the nostrils will cause dysfunction of cilia in the airways. 
A)  Carbon monoxide poisoning always occurs when soot is visible. 
B)  Inhalation injury above the glottis may cause significant edema that obstructs the airway. 
C)  The patient will have a copious amount of mucus that will need to be suctioned. 
D)  The singed hairs and soot in the nostrils will cause dysfunction of cilia in the airways.

Question 3

Which complications may manifest after an electrical injury? (Select all that apply.)

Accepted Answer

A)  Long bone fractures 
B)  Cardiac dysrhythmias 
C)  Hypertension 
D)  Compartment syndrome of extremities 
E)  Dark brown urine
F) Peptic ulcer disease
G) Acute cataract formation
H) Seizures 
A)  Long bone fractures 
B)  Cardiac dysrhythmias 
C)  Hypertension 
D)  Compartment syndrome of extremities 
E)  Dark brown urine
F) Peptic ulcer disease
G) Acute cataract formation
H) Seizures

Question 4

The nurse is managing the pain of a patient with burns.The provider has prescribed opiates to be given intramuscularly.The nurse contacts the provider to change the prescription to intravenous administration because

Accepted Answer

A)  intramuscular injections cause additional skin disruption. 
B)  burn pain is so severe it requires relief by the fastest route available. 
C)  hypermetabolism limits effectiveness of medications administered intramuscularly. 
D)  tissue edema may interfere with drug absorption of injectable routes. 
A)  intramuscular injections cause additional skin disruption. 
B)  burn pain is so severe it requires relief by the fastest route available. 
C)  hypermetabolism limits effectiveness of medications administered intramuscularly. 
D)  tissue edema may interfere with drug absorption of injectable routes.

Question 5

An elderly individual from an assisted-living facility (ALF)presents with severe scald burns to the buttocks and back of the thighs.The caregiver from the ALF accompanies the patient to the emergency department and states that the bath water was "too hot" and that the "patient sat in the water too long." What should the nurse do?

Accepted Answer

A)  Ask the caregiver at what temperature the water heater is set in the home. 
B)  Ask the caregiver to step out while examining the patient's burn injury. 
C)  Immediately contact the police to report the suspected elder abuse. 
D)  Ask the caregiver to describe exactly how the injury occurred. 
A)  Ask the caregiver at what temperature the water heater is set in the home. 
B)  Ask the caregiver to step out while examining the patient's burn injury. 
C)  Immediately contact the police to report the suspected elder abuse. 
D)  Ask the caregiver to describe exactly how the injury occurred.

Question 6

A patient with a 60% burn in the acute phase of treatment develops a tense abdomen,decreasing urine output,hypercapnia,and hypoxemia.Based on this assessment,the nurse anticipates interventions to evaluate and treat the patient for

Accepted Answer

A)  acute kidney injury. 
B)  acute respiratory distress syndrome. 
C)  intra-abdominal hypertension. 
D)  disseminated intravascular coagulation disorder. 
A)  acute kidney injury. 
B)  acute respiratory distress syndrome. 
C)  intra-abdominal hypertension. 
D)  disseminated intravascular coagulation disorder.

Question 7

Which of the following infection control strategies should the nurse implement to decrease the risk of infection in the burn-injured patient? (Select all that apply.)

Accepted Answer

A)  Apply topical antibacterial wound ointments/dressings. 
B)  Change indwelling urinary catheter every 7 days. 
C)  Daily assess the need for central IV catheters. 
D)  Restrict family visitation. 
E)  Maintain strict aseptic technique during burn wound management. 
A)  Apply topical antibacterial wound ointments/dressings. 
B)  Change indwelling urinary catheter every 7 days. 
C)  Daily assess the need for central IV catheters. 
D)  Restrict family visitation. 
E)  Maintain strict aseptic technique during burn wound management.

Question 8

The nurse is assisting the patient to select foods from the menu that will promote wound healing.Which statement indicates the nurse's knowledge of nutritional goals?

Accepted Answer

A)  "Avoid foods that have saturated fats.Fats interfere with the ability of the burn wound to heal." 
B)  "Choose foods that are high in protein, such as meat, eggs, and beans.These help the burns to heal." 
C)  "It is important to choose foods such as bread and pasta that are high in carbohydrates.These foods will give you energy and help you to heal faster." 
D)  "Select foods that have lots of fiber, such as whole grains and fruits.These will promote removal of toxins from the body that interfere with healing." 
A)  "Avoid foods that have saturated fats.Fats interfere with the ability of the burn wound to heal." 
B)  "Choose foods that are high in protein, such as meat, eggs, and beans.These help the burns to heal." 
C)  "It is important to choose foods such as bread and pasta that are high in carbohydrates.These foods will give you energy and help you to heal faster." 
D)  "Select foods that have lots of fiber, such as whole grains and fruits.These will promote removal of toxins from the body that interfere with healing."

Question 9

In patients with extensive burns,edema occurs in both burned and unburned areas because of

Accepted Answer

A)  catecholamine-induced vasoconstriction. 
B)  decreased glomerular filtration. 
C)  increased capillary permeability. 
D)  loss of integument barrier. 
A)  catecholamine-induced vasoconstriction. 
B)  decreased glomerular filtration. 
C)  increased capillary permeability. 
D)  loss of integument barrier.

Question 10

Which of the following factors increase the burn patient's risk for venous thromboembolism? (Select all that apply.)

Accepted Answer

A)  Burn injury less than 10% 
B)  Bed rest 
C)  Burns to lower extremities 
D)  Electrical burn injury 
E)  Delayed fluid resuscitation 
A)  Burn injury less than 10% 
B)  Bed rest 
C)  Burns to lower extremities 
D)  Electrical burn injury 
E)  Delayed fluid resuscitation

Question 11

The nurse is caring for a patient with an electrical injury.The nurse understands that patients with electrical injury are at a high risk for acute kidney injury secondary to

Accepted Answer

A)  hypervolemia from burn resuscitation. 
B)  increased incidence of ureteral stones. 
C)  nephrotoxic antibiotics for prevention of infection. 
D)  release of myoglobin from injured tissues. 
A)  hypervolemia from burn resuscitation. 
B)  increased incidence of ureteral stones. 
C)  nephrotoxic antibiotics for prevention of infection. 
D)  release of myoglobin from injured tissues.

Patients with burns may have mesh grafts or sheet grafts.Which of the following sites is most likely to have a sheet graft applied?

When paramedics notice singed hairs in the nose of a burn patient,it is recommended that the patient be intubated.What is the reasoning for the immediate intubation?

Which complications may manifest after an electrical injury? (Select all that apply.)

The nurse is managing the pain of a patient with burns.The provider has prescribed opiates to be given intramuscularly.The nurse contacts the provider to change the prescription to intravenous administration because

A patient with a 60% burn in the acute phase of treatment develops a tense abdomen,decreasing urine output,hypercapnia,and hypoxemia.Based on this assessment,the nurse anticipates interventions to evaluate and treat the patient for

Which of the following infection control strategies should the nurse implement to decrease the risk of infection in the burn-injured patient? (Select all that apply.)

The nurse is assisting the patient to select foods from the menu that will promote wound healing.Which statement indicates the nurse's knowledge of nutritional goals?

In patients with extensive burns,edema occurs in both burned and unburned areas because of

Which of the following factors increase the burn patient's risk for venous thromboembolism? (Select all that apply.)

The nurse is caring for a patient with an electrical injury.The nurse understands that patients with electrical injury are at a high risk for acute kidney injury secondary to

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-of-Life Care and Palliative Care in Critical Care Settings

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,Sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

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Exam 21: Burns

Patients with burns may have mesh grafts or sheet grafts.Which of the following sites is most likely to have a sheet graft applied?

When paramedics notice singed hairs in the nose of a burn patient,it is recommended that the patient be intubated.What is the reasoning for the immediate intubation?

Which complications may manifest after an electrical injury? (Select all that apply.)

The nurse is managing the pain of a patient with burns.The provider has prescribed opiates to be given intramuscularly.The nurse contacts the provider to change the prescription to intravenous administration because

A patient with a 60% burn in the acute phase of treatment develops a tense abdomen,decreasing urine output,hypercapnia,and hypoxemia.Based on this assessment,the nurse anticipates interventions to evaluate and treat the patient for

Which of the following infection control strategies should the nurse implement to decrease the risk of infection in the burn-injured patient? (Select all that apply.)

The nurse is assisting the patient to select foods from the menu that will promote wound healing.Which statement indicates the nurse's knowledge of nutritional goals?

In patients with extensive burns,edema occurs in both burned and unburned areas because of

Which of the following factors increase the burn patient's risk for venous thromboembolism? (Select all that apply.)

The nurse is caring for a patient with an electrical injury.The nurse understands that patients with electrical injury are at a high risk for acute kidney injury secondary to

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-of-Life Care and Palliative Care in Critical Care Settings

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,Sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Filters