Exam 21: Nursing Management: Burns

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

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?

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

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?

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

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?

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

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 ensure adequate kidney function?

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 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?

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

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

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?

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

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?

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 action will the nurse anticipate taking now?

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].)

The nurse is reviewing the medication administration record (MAR)on a patient with partial-thickness burns.Which medication is best for the nurse to administer before scheduled wound debridement?