Exam 35: Burns

What are the goals of the rehabilitation phase of burn management?

A patient with extensive burns is undergoing skin grafting.The nurse understands pain control is best achieved with what strategies during the early phase of recovery?

A patient is brought to the emergency department after a house fire.He fell asleep with a lit cigarette,and the couch ignited.What is the nurse's first priority?

A patient is admitted to the burn unit with extensive burns after a house fire.The patient's vital signs and physical exam include a heart rate of 140 beats/min,a urine output of 25 mL/h,and clear lung sounds.The nurse knows that the patient's symptoms are most likely attributable to what cause?

What physiologic process can result in excessive burn edema and shock in a patient with injuries totaling more than 50% total body surface area (TBSA)burn?

A patient involved in a house fire is brought by ambulance to the emergency department.The patient is breathing spontaneously but appears agitated and does not respond appropriately to questions.The nurse knows the patient has inhaled carbon monoxide and probably has carbon monoxide (CO)poisoning.What action should the nurse take next?

Which topical antimicrobial agent is commonly used as a broad-spectrum and fights against gram-positive and -negative bacteria?

A patient is brought to the emergency department with extensive burns after a house fire.What is an important nursing intervention for this patient during the resuscitation phase?

What is a leading cause of death in the hospitalized burn patient?

The nursing management plan for a patient with full-thickness burns includes which intervention?

The nurse is caring for a patient with extensive burns.Which intervention should be included in the nursing management plan to prevent cross-contamination and decrease the risk of infection in the burn-injured patient?

A patient is brought to the emergency department after a house fire.He fell asleep with a lit cigarette,and the couch ignited.Total body surface area (TBSA)burn is estimated at 25% deep partial-thickness burns to areas of the chest,back,and left arm and 20% full-thickness burns to the right arm,right upper leg,and areas on the face.The patient's weight is estimated at 85 kg.What is the initial plan for fluid replacement?

The nurse is caring for a patient with extensive burns.Which zone of injury is the site of the most severe damage?

Less than 24 hours ago a patient sustained full-thickness burns,to his face,chest,back,and bilateral upper arms,in a house fire.He also sustained an inhalation injury.The patient was intubated and ventilated and is now showing signs of increasing agitation and rising peak airway pressures.The nurse suspects the patient's change in condition is due to which problem?

Contracture development leading to impaired physical mobility can occur after a major burn injury.Splints are applied to prevent or correct contractures.Priority nursing interventions concerning this therapy include which action?

Using the "rule of nines," calculate the percent of injury in an adult who was injured as follows: the patient sustained partial and full-thickness burns to half of his left arm,his entire left leg,and his perineum.

A patient is admitted after being burned in a car fire.The wound surface is red with patchy white areas that blanch with pressure but no blister formation.What kind of burn would the nurse document in the patient's record?

A nurse is caring for a patient who was burned 2 weeks ago.The nurse knows the patient has entered the next phase of healing,which is characterized by rapid synthesis of collagen.What phase is the patient in?

A patient has a partial-thickness burn wound that is being treated with porcine xenograft (pigskin).The nurse knows that pigskin usually dissolves in 5 to 7 days because of what reason?

Identify in the correct order the five layers of the skin from the surface inward. 1)Stratum granulosum 2)Stratum corneum 3)Stratum germinativum 4)Stratum lucidum 5)Stratum spinosum