Exam 27: Nursing Management Burns

The nurse is caring for a client who incurred extensive burn injuries 5 days ago and has been prescribed ranitidine. Which of the following assessments should the nurse use to evaluate the effectiveness of the medication?

Which of the following snacks will be best for the nurse to offer to a client with burns covering 40% total body surface area (TBSA) who is in the acute phase of burn treatment?

Which of the following actions should be included in the plan of care for a client who has burns of the ears, head, neck, and right arm and hand?

The nurse is admitting a client to the burn unit who has an approximate 25% total body surface area (TBSA) burn and the following initial laboratory results: Hct 56%, Hb 172 g/L, serum K+ 4.8 mmol/L, and serum Na+ 135 mmol/L. Which of the following actionsshould the nurse anticipate implementing?

The nurse is admitting a client with burns over 30% of total body surface area (TBSA) and who weighs 70 kg. Using the Parkland formula, calculate the volume of lactated Ringer's solution that the nursing staff will administer during the first 24 hours.

The occupational health nurse is assessing an employee who has just spilled industrial acids on the arms and legs. Which of the following actions is priority for the nurse to implement?

The nurse is admitting a client to the burn unit who has burns to the upper body and head after a garage fire. Initially, wheezes are heard, but an hour later, the lung sounds are decreased and no wheezes are audible. Which of the following actions should thenurse implement first?

The nurse is caring for a client who has burns over 30% of the body surface. Which of the following events indicates that the client has moved from the emergent to the acute phase of the burn injury?

The nurse is caring for a client who is in the rehabilitation phase after havingdeep partial-thickness face and neck burns and has a nursing diagnosis of disturbed body image. Which of the following actions by the client indicates that the problem is resolving?

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

The nurse notes a bright red skin colour for a client who was found unconscious from smoke inhalation in a burning house. Which of the following actions should the nurse take first?

The nurse is admitting a client with extensive electrical burn injuries. Which of the following prescribed interventions should the nurse implement first?

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

The nurse is assessing a client who spilled hot oil on the right leg and foot and notes that the skin is red, swollen, and covered with large blisters. The client states that they are very painful. Which of the following burn descriptions should the nurse document?

The staff nurse is supervising a student nurse on the burn unit. Which of the following actions by the student nurse require that the staff nurse intervene?

After receiving change-of-shift report, which of the following clients should the nurse assess first?

In which order should the nurse take these actions when doing a dressing change for a partial-thickness burn wound on a client's back?

The nurse is caring for a client who has just been admitted with a 40% total body surface area (TBSA) burn injury. Which of the following interventions should the nurse include in the plan of care to maintain adequate nutrition?

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

Six hours after a thermal burn covering 50% of a client's total body surface area (TBSA), the nurse obtains these data when assessing a client. Which of the following information is priority for the nurse to communicate to the health care provider?