Question 1

The nurse is caring for a client with severe burns who is receiving crystalloid fluid replacement IV, 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/hour. Which of the following infusion rates is accurate after the first 8 hours?

Accepted Answer

A) 350 mL/hour 
B) 523 mL/hour 
C) 938 mL/hour 
D) 1 250 mL/hour

Question 2

The nurse is caring for a client who has circumferential burns of both arms and develops a decrease in radial pulse strength and numbness in the fingers. Which of the following actions should the nurse take?

Accepted Answer

A) Notify the health care provider. 
B) Monitor the pulses every 2 hours. 
C) Elevate both arms above heart level with pillows. 
D) Encourage the client to flex and extend the fingers.

Question 3

The nurse is caring for a client who is in the emergent phase of burn care. Which of the following nursing actions will be most useful in determining whether the client is receiving adequate fluid infusion?

Accepted Answer

A) Check skin turgor. 
B) Monitor daily weight. 
C) Assess mucous membranes. 
D) Measure hourly urine output.

Question 4

The nurse is caring for a client who has burns on the back and chest from a house fire and has become agitated and restless 9 hours after being admitted to the hospital. Which of the following actions should the nurse take first?

Accepted Answer

A) Stay at the bedside and reassure the client. 
B) Administer the ordered morphine sulphate IV. 
C) Assess orientation and level of consciousness. 
D) Use pulse oximetry to check the oxygen saturation.

Question 5

The nurse is caring for a client who has partial-thickness burns. Which of the following prescribed medications will be best for the nurse to use before wound debridement?

Accepted Answer

A) Ketorolac 
B) Lorazepam 
C) Gabapentin 
D) Hydromorphone

Question 6

Which of the following laboratory results requires the most rapid action by the nurse who is caring for a client who suffered a large burn 48 hours ago?

Accepted Answer

A) Hct 52% 
B) BUN 13.8 mmol/L 
C) Serum sodium 146 mmol/L 
D) Serum potassium 6.2 mmol/L

Question 7

Which of the following frequencies of multiple-dressing method burn treatment dressing changes should the nurse should question?

Accepted Answer

A) Every 6 hours 
B) Every 12 hours 
C) Once a day 
D) Once a week

Question 8

The nurse is caring for a client who has deep partial-thickness and full-thickness burns of the face and chest and is having the wounds treated with the open method. Which of the following nursing actions should be included in the plan of care?

Accepted Answer

A) Restrict all visitors to prevent cross-contamination of wounds. 
B) Wear gowns, caps, masks, and gloves during all care of the client. 
C) Turn the room temperature up to at least 20°C (68°F) during dressing changes. 
D) Administer prophylactic antibiotics to prevent bacterial colonization of wounds.

Question 9

Which of the following assessment parameters is the priority nursing assessment when caring for a client who has just arrived in the emergency department after suffering an electrical burn from exposure to a high-voltage current?

Accepted Answer

A) Oral temperature 
B) Peripheral pulses 
C) Extremity movement 
D) Pupil reaction to light

Exam 27: Nursing Management Burns