Question 1

The nurse is caring for a patient with an electrical injury.The nurse understands that patients with electrical injury are at a high risk for acute kidney injury secondary to

Accepted Answer

A)  hypervolemia from burn resuscitation. 
B)  increased incidence of ureteral stones. 
C)  nephrotoxic antibiotics for prevention of infection. 
D)  release of myoglobin from injured tissues. 
A)  hypervolemia from burn resuscitation. 
B)  increased incidence of ureteral stones. 
C)  nephrotoxic antibiotics for prevention of infection. 
D)  release of myoglobin from injured tissues.

Question 2

A 63-year-old patient is admitted with new-onset fever; flulike symptoms; blisters over the arms,chest,and neck; and red,painful oral mucous membranes.The patient should be further evaluated for which possible non-burn-injured skin disorder?

Accepted Answer

A)  Toxic epidermal necrolysis 
B)  Staphylococcal scalded skin syndrome 
C)  Necrotizing soft tissue infection 
D)  Graft-versus-host disease 
A)  Toxic epidermal necrolysis 
B)  Staphylococcal scalded skin syndrome 
C)  Necrotizing soft tissue infection 
D)  Graft-versus-host disease

Question 3

A patient admitted with severe burns to his face and hands is showing signs of extreme agitation.The nurse should explore the mechanism of burn injury possibly related to

Accepted Answer

A)  excessive alcohol use. 
B)  methamphetamine use. 
C)  posttraumatic stress disorder. 
D)  subacute delirium. 
A)  excessive alcohol use. 
B)  methamphetamine use. 
C)  posttraumatic stress disorder. 
D)  subacute delirium.

Question 4

The nurse is caring for a patient who has undergone skin grafting of the face and arms for burn wound treatment.A primary nursing diagnosis is

Accepted Answer

A)  altered nutrition, less than body requirements. 
B)  body image disturbance. 
C)  decreased cardiac output. 
D)  fluid volume deficit. 
A)  altered nutrition, less than body requirements. 
B)  body image disturbance. 
C)  decreased cardiac output. 
D)  fluid volume deficit.

Question 5

Which complications may manifest after an electrical injury?

Accepted Answer

A)  Long bone fractures 
B)  Cardiac dysrhythmias 
C)  Hypertension 
D)  Compartment syndrome of extremities 
E)  Dark brown urine
F) Peptic ulcer disease
G) Acute cataract formation
H) Seizures 
A)  Long bone fractures 
B)  Cardiac dysrhythmias 
C)  Hypertension 
D)  Compartment syndrome of extremities 
E)  Dark brown urine
F) Peptic ulcer disease
G) Acute cataract formation
H) Seizures

Question 6

When paramedics notice singed hairs in the nose of a burn patient,it is recommended that the patient be intubated.What is the reasoning for the immediate intubation?

Accepted Answer

A)  Carbon monoxide poisoning always occurs when soot is visible. 
B)  Inhalation injury above the glottis may cause significant edema that obstructs the airway. 
C)  The patient will have a copious amount of mucus that will need to be suctioned. 
D)  The singed hairs and soot in the nostrils will cause dysfunction of cilia in the airways. 
A)  Carbon monoxide poisoning always occurs when soot is visible. 
B)  Inhalation injury above the glottis may cause significant edema that obstructs the airway. 
C)  The patient will have a copious amount of mucus that will need to be suctioned. 
D)  The singed hairs and soot in the nostrils will cause dysfunction of cilia in the airways.

Question 7

The nurse is caring for a patient with a chemical burn injury.The priority nursing intervention is to

Accepted Answer

A)  remove the patient's clothes and flush the area with water. 
B)  apply saline compresses. 
C)  contact a poison control center for directions on neutralizing agents. 
D)  remove all jewelry. 
A)  remove the patient's clothes and flush the area with water. 
B)  apply saline compresses. 
C)  contact a poison control center for directions on neutralizing agents. 
D)  remove all jewelry.

Question 8

A burn patient in the rehabilitation phase of injury is increasingly anxious and unable to sleep.The nurse should consult with the provider to further assess the patient for

Accepted Answer

A)  acute delirium. 
B)  posttraumatic stress disorder. 
C)  suicidal intentions. 
D)  bipolar disorder. 
A)  acute delirium. 
B)  posttraumatic stress disorder. 
C)  suicidal intentions. 
D)  bipolar disorder.

Question 9

The nurse is caring for a patient with burns to the hands,feet,and major joints.The nurse plans care to include which of the following?

Accepted Answer

A)  Applying splints that maintain the extremity in an extended position 
B)  Implementing passive or active range-of-motion exercises 
C)  Keeping the limbs as immobile as possible 
D)  Wrapping fingers and toes individually with bandages 
E)  Administering muscle relaxants around the clock 
A)  Applying splints that maintain the extremity in an extended position 
B)  Implementing passive or active range-of-motion exercises 
C)  Keeping the limbs as immobile as possible 
D)  Wrapping fingers and toes individually with bandages 
E)  Administering muscle relaxants around the clock

Question 10

The nurse is assisting the patient to select foods from the menu that will promote wound healing.Which statement indicates the nurse's knowledge of nutritional goals?

Accepted Answer

A)  "Avoid foods that have saturated fats. Fats interfere with the ability of the burn wound to heal." 
B)  "Choose foods that are high in protein, such as meat, eggs, and beans. These help the burns to heal." 
C)  "It is important to choose foods such as bread and pasta that are high in carbohydrates. These foods will give you energy and help you to heal faster." 
D)  "Select foods that have lots of fiber, such as whole grains and fruits. These will promote removal of toxins from the body that interfere with healing." 
A)  "Avoid foods that have saturated fats. Fats interfere with the ability of the burn wound to heal." 
B)  "Choose foods that are high in protein, such as meat, eggs, and beans. These help the burns to heal." 
C)  "It is important to choose foods such as bread and pasta that are high in carbohydrates. These foods will give you energy and help you to heal faster." 
D)  "Select foods that have lots of fiber, such as whole grains and fruits. These will promote removal of toxins from the body that interfere with healing."

Question 11

The optimal measurement of intravascular fluid status during the immediate fluid resuscitation phase of burn treatment is

Accepted Answer

A)  blood urea nitrogen. 
B)  daily weight. 
C)  hourly intake and urine output. 
D)  serum potassium. 
A)  blood urea nitrogen. 
B)  daily weight. 
C)  hourly intake and urine output. 
D)  serum potassium.

The nurse is caring for a patient with an electrical injury.The nurse understands that patients with electrical injury are at a high risk for acute kidney injury secondary to

A 63-year-old patient is admitted with new-onset fever; flulike symptoms; blisters over the arms,chest,and neck; and red,painful oral mucous membranes.The patient should be further evaluated for which possible non-burn-injured skin disorder?

A patient admitted with severe burns to his face and hands is showing signs of extreme agitation.The nurse should explore the mechanism of burn injury possibly related to

The nurse is caring for a patient who has undergone skin grafting of the face and arms for burn wound treatment.A primary nursing diagnosis is

Which complications may manifest after an electrical injury?

When paramedics notice singed hairs in the nose of a burn patient,it is recommended that the patient be intubated.What is the reasoning for the immediate intubation?

The nurse is caring for a patient with a chemical burn injury.The priority nursing intervention is to

A burn patient in the rehabilitation phase of injury is increasingly anxious and unable to sleep.The nurse should consult with the provider to further assess the patient for

The nurse is caring for a patient with burns to the hands,feet,and major joints.The nurse plans care to include which of the following?

The nurse is assisting the patient to select foods from the menu that will promote wound healing.Which statement indicates the nurse's knowledge of nutritional goals?

The optimal measurement of intravascular fluid status during the immediate fluid resuscitation phase of burn treatment is

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-Of-Life Care and Palliative Care in Critical Care Settings

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

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Exam 21: Burns

The nurse is caring for a patient with an electrical injury.The nurse understands that patients with electrical injury are at a high risk for acute kidney injury secondary to

A 63-year-old patient is admitted with new-onset fever; flulike symptoms; blisters over the arms,chest,and neck; and red,painful oral mucous membranes.The patient should be further evaluated for which possible non-burn-injured skin disorder?

A patient admitted with severe burns to his face and hands is showing signs of extreme agitation.The nurse should explore the mechanism of burn injury possibly related to

The nurse is caring for a patient who has undergone skin grafting of the face and arms for burn wound treatment.A primary nursing diagnosis is

Which complications may manifest after an electrical injury?

When paramedics notice singed hairs in the nose of a burn patient,it is recommended that the patient be intubated.What is the reasoning for the immediate intubation?

The nurse is caring for a patient with a chemical burn injury.The priority nursing intervention is to

A burn patient in the rehabilitation phase of injury is increasingly anxious and unable to sleep.The nurse should consult with the provider to further assess the patient for

The nurse is caring for a patient with burns to the hands,feet,and major joints.The nurse plans care to include which of the following?

The nurse is assisting the patient to select foods from the menu that will promote wound healing.Which statement indicates the nurse's knowledge of nutritional goals?

The optimal measurement of intravascular fluid status during the immediate fluid resuscitation phase of burn treatment is

Overview of Critical Care Nursing

Patient and Family Response to the Critical Care Experience

Ethical and Legal Issues in Critical Care Nursing

End-Of-Life Care and Palliative Care in Critical Care Settings

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

Organ Donation

Shock,sepsis,and Multiple Organ Dysfunction Syndrome

Cardiovascular Alterations

Nervous System Alterations

Acute Respiratory Failure

Acute Kidney Injury

Hematological and Immune Disorders

Gastrointestinal Alterations

Endocrine Alterations

Trauma and Surgical Management

Filters