Exam 25: Nursing Management: Burns

The nurse admitting a patient with an extensive burn injury develops a nursing diagnosis of risk for imbalanced nutrition: less than body requirements related to high caloric needs. The initial action by the nurse should be to

To provide wound care for the patient with deep partial-thickness and full-thickness burns, the nurse plans to

A patient with burns of the upper thorax and circumferential burns of both arms develops decreased radial pulses and loss of sensation in the fingers. The most appropriate action by the nurse is to

When assessing an emergency department patient who spilled hot oil from a deep-fat fryer on the right leg and foot, the nurse notes that the leg and foot are red, swollen, and covered with large blisters. The patient states that they are very painful. The nurse will document the injury as

Which action should the nurse take first when caring for a patient who has just arrived in the emergency department with facial and chest burns caused by a house fire?

The nurse determines that fluid replacement for a patient with major burns is adequate, based on the finding of

The RN observes all of these actions being taken by a staff nurse who has floated to the unit. Which action requires that the RN intervene?

A patient in the acute phase of burn injury requires frequent hydrotherapy sessions for wound débridement. To evaluate for complications of hydrotherapy, the nurse will plan to closely monitor

A patient is admitted to the emergency department after suffering an electrical burn from exposure to a high-voltage current. In addition to the burn injuries, the most essential assessment is

Ranitidine (Zantac) is prescribed for a patient who had extensive burn injuries 5 days ago. Which information will the nurse collect to evaluate the effectiveness of the medication?

A patient with deep partial-thickness and full-thickness burns of the face and chest has the wounds treated with the open method. The nurse identifies an expected patient outcome of absence of wound infections. An appropriate nursing action to help the patient meet the outcome is to

An employee spilled industrial acids on the arms and legs at work. Before transporting the individual to the hospital, the occupational nurse at the facility should

A patient who was found unconscious in a burning bedroom and has burns to the lower legs is assessed by the nurse in the emergency department. The nurse notes that the patient's face is bright red. Which of these actions should the nurse take first?

Which of these nursing actions should be accomplished first for a patient who has suffered a burn injury while working on an electrical power line?

Which of these patients is most appropriate for the burn unit charge nurse to assign to an RN staff nurse who has floated from the hospital medical unit?

A patient is admitted to the burn unit with burns of the head, neck, chest, and back following a garage fire. Upon admission to the unit, the nurse auscultates wheezes in the patient's lungs. One hour later, the wheezes cannot be heard, and lung sounds are decreased. The most appropriate action by the nurse is to

When positioning a patient with burns of the head, neck, chest, and right arm and hand, the nurse places the patient

Six hours after a thermal burn injury involving the anterior and posterior chest and both arms, the nurse obtains all of these data when assessing a patient. Which information is most important to communicate to the health care provider?

A patient with burns has the nursing diagnosis of pain related to lack of knowledge of pain-control methods. The most appropriate nursing action for this nursing diagnosis is to

The nurse caring for a patient admitted with burns over 30% of the body surface will recognize that the patient has moved from the emergent to the acute phase of the burn injury when