Question 1

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.

Question 2

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?

Accepted Answer

A)  Central nervous system deficits 
B)  Contractures 
C)  Infection 
D)  Stress ulcers 
A)  Central nervous system deficits 
B)  Contractures 
C)  Infection 
D)  Stress ulcers

Question 3

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

Accepted Answer

A)  acute kidney injury. 
B)  acute respiratory distress syndrome. 
C)  infection. 
D)  stress ulcers. 
A)  acute kidney injury. 
B)  acute respiratory distress syndrome. 
C)  infection. 
D)  stress ulcers.

Question 4

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

Accepted Answer

A)  stimulates tissue granulation. 
B)  is effective against a wide spectrum of wound pathogens. 
C)  provides topical pain relief. 
D)  stimulates wound healing. 
A)  stimulates tissue granulation. 
B)  is effective against a wide spectrum of wound pathogens. 
C)  provides topical pain relief. 
D)  stimulates wound healing.

Question 5

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 6

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 like 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 like 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 7

An elderly individual from an assisted living facility 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?

Accepted Answer

A)  Ask the caregiver at what temperature the water heater is set in the home. 
B)  Ask the caregiver to step out while examining the patient's burn injury. 
C)  Immediately contact the police to report the suspected elder abuse. 
D)  Ask the caregiver to describe exactly how the injury occurred. 
A)  Ask the caregiver at what temperature the water heater is set in the home. 
B)  Ask the caregiver to step out while examining the patient's burn injury. 
C)  Immediately contact the police to report the suspected elder abuse. 
D)  Ask the caregiver to describe exactly how the injury occurred.

Question 8

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:

Accepted Answer

A)  "Unfortunately, an autograft skin is a temporary graft and a second surgery will be needed to close the wound." 
B)  "An autograft is a biological dressing that will eventually be replaced by your body generating new tissue." 
C)  "Yes, an autograft will transfer your own skin from one area of your body to cover the burn wound." 
D)  "Unfortunately, autografts frequently do not adhere well to burn wounds and a xenograft will be necessary to close the wound." 
A)  "Unfortunately, an autograft skin is a temporary graft and a second surgery will be needed to close the wound." 
B)  "An autograft is a biological dressing that will eventually be replaced by your body generating new tissue." 
C)  "Yes, an autograft will transfer your own skin from one area of your body to cover the burn wound." 
D)  "Unfortunately, autografts frequently do not adhere well to burn wounds and a xenograft will be necessary to close the wound."

Question 9

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 10

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 11

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.

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

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?

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

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

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 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 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:

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

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 in the Critical Care Unit

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

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

Solid Organ Transplantation

Filters

Exam 20: Burns

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

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?

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

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

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 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 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:

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

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 in the Critical Care Unit

Comfort and Sedation

Nutritional Support

Dysrhythmia Interpretation and Management

Hemodynamic Monitoring

Ventilatory Assistance

Rapid Response Teams and Code Management

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

Solid Organ Transplantation

Filters