Exam 24: Burns

An 80-kg patient with burns over 30% of total body surface area (TBSA)is admitted to the burn unit. Using the Parkland formula of 4 mL/kg/%TBSA,what is the IV infusion rate (mL/hour)for lactated Ringer's solution that the nurse will give during the first 8 hours?

A patient with severe burns has crystalloid fluid replacement ordered using the Parkland formula. The initial volume of fluid to be administered in the first 24 hours is 30,000 mL. The initial rate of administration is 1875 mL/hr. After the first 8 hours,what rate should the nurse infuse the IV fluids?

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?

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 immediate intervention by the charge nurse?

A young adult patient who is in the rehabilitation phase after having deep partial-thickness face and neck burns has a nursing diagnosis of disturbed body image. Which statement by the patient best indicates that the problem is resolving?

Eight hours after a thermal burn covering 50% of a patient's total body surface area (TBSA),the nurse assesses the patient. The patient weighs 92 kg (202.4 lb). Which information would be a priority to communicate to the health care provider?

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

Which prescribed drug is best for the nurse to give before scheduled wound debridement on a patient with partial-thickness burns?

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?

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

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 drug?