Exam 26: Care of Patients with Burns

After assessing an older adult client with a burn wound,the nurse documents the findings as follows: Based on the documented data,which action should the nurse take next?

An emergency room nurse assesses a client who was rescued from a home fire.The client suddenly develops a loud,brassy cough.Which action should the nurse take first?

The nurse assesses a client who has a severe burn injury.Which statement indicates the client understands the psychosocial impact of a severe burn injury?

A nurse assesses a client admitted with deep partial-thickness and full-thickness burns on the face,arms,and chest.Which assessment finding should alert the nurse to a potential complication?

A nurse cares for a client with burn injuries during the resuscitation phase.Which actions are priorities during this phase? (Select all that apply.)

An emergency room nurse implements fluid replacement for a client with severe burn injuries.The provider prescribes a liter of 0.9% normal saline to infuse over 1 hour and 30 minutes via gravity tubing with a drip factor of 30 drops/mL.At what rate should the nurse administer the infusion? (Record your answer using a whole number and rounding to the nearest drop.)____ drops/min

A nurse receives new prescriptions for a client with severe burn injuries who is receiving fluid resuscitation per the Parkland formula.The client's urine output continues to range from 0.2 to 0.25 mL/kg/hr.Which prescription should the nurse question?

A nurse reviews the laboratory results for a client who was burned 24 hours ago.Which laboratory result should the nurse report to the health care provider immediately?

The nurse teaches burn prevention to a community group.Which statement by a member of the group should cause the nurse the greatest concern?

The nurse is caring for a client with an acute burn injury.Which action should the nurse take to prevent infection by autocontamination?

A nurse uses the rule of nines to assess a client with burn injuries to the entire back region and left arm.How should the nurse document the percentage of the client's body that sustained burns?

A nurse teaches a client being treated for a full-thickness burn.Which statement should the nurse include in this client's discharge teaching?

A nurse plans care for a client with burn injuries.Which interventions should the nurse implement to prevent infection in the client? (Select all that apply.)

A nurse assesses a client who has a burn injury.Which statement indicates the client has a positive perspective of his or her appearance?

A nurse cares for a client with a burn injury who presents with drooling and difficulty swallowing.Which action should the nurse take first?

The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN).Which instruction should the nurse provide to the LPN when assigning this client?

A nurse assesses bilateral wheezes in a client with burn injuries inside the mouth.Four hours later the wheezing is no longer heard.Which action should the nurse take?

A nurse cares for an older client with burn injuries.Which age-related changes are paired appropriately with their complications from the burn injuries? (Select all that apply.)

An emergency room nurse cares for a client admitted with a 50% burn injury at 10:00 this morning.The client weighs 90 kg.Using the Parkland formula,calculate the rate at which the nurse should infuse intravenous fluid resuscitation when started at noon.(Record your answer using a whole number.)_____ mL/hr

A nurse reviews the following data in the chart of a client with burn injuries: Based on the data provided,how should the nurse categorize this client's injuries?