Exam 21: Burns

An autograft is used to optimally treat a partial- or full-thickness wound that

Which of the following statements about the pain management of a burn victim are true?

The nurse is caring for a burn-injured patient who weighs 154 pounds,and the burn injury covers 50% of his body surface area.The nurse calculates the fluid needs for the first 24 hours after a burn injury using a standard fluid resuscitation formula of 4 mL/kg/% burn of intravenous (IV)fluid for the first 24 hours.The nurse plans to administer what amount of fluid in the first 24 hours?

Which of the following infection control strategies should the nurse implement to decrease the risk of infection in the burn-injured patient?

Tissue damage from burn injury activates an inflammatory response that increases the patient's risk for

The nurse is caring for patient who has been struck by lightning.Because of the nature of the injury,the nurse assesses the patient for which of the following?

The nurse is managing the pain of a patient with burns.The provider has prescribed opiates to be given intramuscularly.The nurse contacts the provider to change the prescription to intravenous administration because

In patients with extensive burns,edema occurs in both burned and unburned areas because of

The nurse understands that negative-pressure wound therapy may be used in the treatment of partial-thickness burn wounds to do which of the following?

Silver is used as an ingredient in many burn dressings because it

The correct priority order of actions in prehospital primary survey for burn injuries is: _______________,_______________,_______________,_______________. A) assess ABCs and cervical spine B) provide oxygen therapy if smoke inhalation is suspected C) make rapid head-to-toe assessment to rule out additional trauma D) stop the burning process and prevent further injury

Patients with burns may have mesh grafts or sheet grafts.Which of the following sites is most likely to have a sheet graft applied?

A patient with a 60% burn in the acute phase of treatment develops a tense abdomen,decreasing urine output,hypercapnia,and hypoxemia.Based on this assessment,the nurse anticipates interventions to evaluate and treat the patient for

The nurse is caring for a patient who has circumferential full-thickness burns of his forearm.A priority in the plan of care is

Which of the following factors increase the burn patient's risk for venous thromboembolism?

The patient asks the nurse if the placement of the autograft over his full-thickness burn will be the only surgical intervention needed to close his wound.The nurse's best response would be:

An elderly individual from an assisted-living facility (ALF)presents with severe scald burns to the buttocks and back of the thighs.The caregiver from the ALF accompanies the patient to the emergency department and states that the bath water was "too hot" and that the "patient sat in the water too long." What should the nurse do?

The nurse is planning care to meet the patient's pain management needs related to burn treatment.The patient is alert,oriented,and follows commands.The pain is worse during the day,when various treatments are scheduled.Which statement to the provider best indicates the nurse's knowledge of pain management for this patient?

The nurse is conducting an admission assessment of an 82-year-old patient who sustained a 12% burn from spilling hot coffee on the hand and arm.Which statement is of priority to assist in planning treatment?

A(An)____________________ often produces a superficial cutaneous injury but may cause cardiopulmonary arrest and transient but severe central nervous system deficits.