Exam 24: Burns

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 first?

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

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 support maintaining kidney function?

The nurse is reviewing laboratory results on a patient who had a large burn 48 hours ago. Which result requires priority action by the nurse?

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 of the following prescribed actions should be the nurse's priority?

A patient has just been admitted with a 40% total body surface area (TBSA)burn injury. To maintain adequate nutrition,the nurse should plan to take which action?

A patient with burns covering 40% total body surface area (TBSA)is in the acute phase of burn treatment. Which snack would be best for the nurse to offer to this patient?

A nurse is caring for a patient who has burns of the ears,head,neck,and right arm and hand. The nurse should place the patient in which position?

The nurse estimates the extent of a burn using the rule of nines for a patient who has been admitted with deep partial-thickness burns of the anterior trunk and the entire left arm. What percentage of the patient's total body surface area (TBSA)has been injured?

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?

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?

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?

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

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].)

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

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

A patient has just arrived in the emergency department after an electrical burn from exposure to a high-voltage current. What is the priority nursing assessment?

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

Which patient should the nurse assess first?

A patient who has burns on the arms,legs,and chest from a house fire has become agitated and restless 8 hours after being admitted to the hospital. Which action should the nurse take first?