Exam 25: Nursing Management: Burns

Which of these medications that are prescribed as needed for a patient who has partial thickness burns will be best for the nurse to use before wound debridement?

What is the priority nursing assessment when caring for a patient who has just arrived in the emergency department after suffering an electrical burn from exposure to a high-voltage current?

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

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

After an employee spills industrial acids on the arms and legs at work, what is the priority action that the occupational health nurse at the facility should take?

A patient with deep partial-thickness and full-thickness burns of the face and chest is having the wounds treated with the open method. Which nursing action will be included in the plan of care?

A 21-year-old 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 action by the patient indicates that the problem is resolving?

A 70 kg patient with burns over 30% of total body surface area (TBSA) is admitted to the burn unit. Using the Parkland formula, calculate the volume of lactated Ringer's solution that the nursing staff will administer during the first 24 hours. __________________

When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes that the skin is red, swollen, and covered with large blisters. The patient states that they are very painful. The nurse will document the injury as

Which of these laboratory results requires the most rapid action by the nurse who is caring for a patient who suffered a large burn 48 hours ago?

A patient who has burns on the back and chest from a house fire has become agitated and restless 9 hours after being admitted to the hospital. Which action should the nurse take first?

A patient with circumferential burns of both arms develops a decrease in radial pulse strength and numbness in the fingers. Which action should the nurse take?

Which of these actions should the nurse take first when a patient arrives in the emergency department with facial and chest burns caused by a house fire?

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 56%, Hb 17.2 mg/dL ( 172 g/L ), serum K⁺ 4.8 mEq/L ( 4.8 mmol/L ), and serum Na⁺ 135 mEq/L ( 135 mmol/L ). Which action will the nurse anticipate taking?

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

In which order will the nurse take these actions when doing a dressing change for a partial-thickness burn wound on a patient's back? Put a comma and space between each solve choice (a, b, c, d, etc.) ____________________ 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.

The nurse notes a bright red skin color for a patient who was found unconscious from smoke inhalation in a burning house. Which action should the nurse take first?

Which action will be included in the plan of care for a patient who has burns of the ears, head, neck, and right arm and hand?

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

After receiving change-of-shift report, which of these patients should the nurse assess first?