Exam 25: Nursing Management: Burns

In which order will the nurse take these actions when doing a dressing change for a partial-thickness burn wound on a patient's chest? (Put a comma and a space between each answer choice [A,B,C,D,E].) A) Apply sterile gauze dressing. B) Document wound appearance. C) Apply silver sulfadiazine cream. D) Administer IV fentanyl (Sublimaze). E) Clean wound with saline-soaked gauze.

A patient with extensive electrical burn injuries is admitted to the emergency department.Which prescribed intervention should the nurse implement first?

Which nursing action is a priority for a patient who has suffered a burn injury while working on an electrical power line?

On admission to the burn unit,a patient with an approximate 25% total body surface area (TBSA)burn has the following initial laboratory results: Hct 58%,Hgb 18.2 mg/dL (172 g/L),serum K⁺ 4.9 mEq/L (4.8 mmol/L),and serum Na⁺ 135 mEq/L (135 mmol/L).Which action will the nurse anticipate taking now?

While the patient's full-thickness burn wounds to the face are exposed,what is the best nursing action to prevent cross contamination?

The nurse is reviewing the medication administration record (MAR)on a patient with partial-thickness burns.Which medication is best for the nurse to administer before scheduled wound debridement?

Which action will the nurse include in the plan of care for a patient in the rehabilitation phase after a burn injury to the right arm and chest?

Eight hours after a thermal burn covering 50% of a patient's total body surface area (TBSA)the nurse assesses the patient.Which information would be a priority to communicate to the health care provider?

A patient who was found unconscious in a burning house is brought to the emergency department by ambulance.The nurse notes that the patient's skin color is bright red.Which action should the nurse take first?

When assessing a patient who spilled hot oil on the right leg and foot,the nurse notes that the skin is dry,pale,hard skin.The patient states that the burn is not painful.What term would the nurse use to document the burn depth?

A patient with circumferential burns of both legs develops a decrease in dorsalis pedis pulse strength and numbness in the toes.Which action should the nurse take?

Esomeprazole (Nexium)is prescribed for a patient who incurred extensive burn injuries 5 days ago.Which nursing assessment would best evaluate the effectiveness of the medication?

Which patient is most appropriate for the burn unit charge nurse to assign to a registered nurse (RN)who has floated from the hospital medical unit?

A patient is admitted to the burn unit with burns to the head,face,and hands.Initially,wheezes are heard,but an hour later,the lung sounds are decreased and no wheezes are audible.What is the best action for the nurse to take?

The charge nurse observes the following actions being taken by a new nurse on the burn unit.Which action by the new nurse would require an intervention by the charge nurse?

The nurse caring for a patient admitted with burns over 30% of the body surface assesses that urine output has dramatically increased.Which action by the nurse would best ensure adequate kidney function?

During the emergent phase of burn care,which assessment will be most useful in determining whether the patient is receiving adequate fluid infusion?

A patient arrives in the emergency department with facial and chest burns caused by a house fire.Which action should the nurse take first?

A young adult patient who is in the rehabilitation phase 6 months after a severe face and neck burn tells the nurse,"I'm sorry that I'm still alive.My life will never be normal again." Which response by the nurse is best?

An employee spills industrial acids on both arms and legs at work.What is the priority action that the occupational health nurse at the facility should take?