Rule of Nines

The nurse recognizes which IV fluid will best treat the acidosis associated with a burn injury?

The phases of burn injury are emergent/resuscitation/burn shock, acute, and rehabilitative. During the acute phase of a burn injury, the capillaries seal and electrolytes remobilize with the fluid. At this time, the nurse should assess the laboratory results for:

During the later stages (after the first 3 days) of a burn injury, the nurse would expect the patient to show signs of:

Which statement best describes the rationale for keeping a patient from ingesting food or liquids (NPO status) while in the ED after a burn?

The American Burn Association (ABA) recommendsthat all of the following burn injuries be referred to a burn center except:

A woman is brought to the ED by her husband. She had been burned when a pot of boiling water spilled down the front of her body. Which nursing action would be inappropriate for this patient?

During the initial treatment phase, fluid replacement at 4 mL/kg/percent of burns is given over the first 24 hours. The calculated amount of solution is divided so that:

During the later stages (after the first 3 days) of a burn injury, the nurse would expect the patient to show signs of:

During the initial stages (first 3 days) of a burn injury, the nurse would expect the patient to show signs of:

An adult patient has partial-thickness and full-thickness burns over one half the anterior chest and abdomen, the perineal area, and the anterior aspect of both legs and feet. Based on the Rule of Nines, the closest estimate of total body-surface area (BSA) involved would be:

A 7-year-old child was brought into the emergency department with 2nd and 3rd degree burns over 36% of his body. What is the priority during this initial emergency department phase in caring for this client?

A three-year-old that has come in with burns from a house fire. The nurse knows that the severity of the burns is primarily based on which of the following? Select all that apply.

A client is recovering from an injury in which he was severely burned. The client is having difficulties coping with his appearance and he tells the nurse that he does not want to look at the burned area. Which response from the nurse is most appropriate?

A client with a burn injury is brought in to the urgent care clinic and the nurse begins an initial assessment. Which signs or symptoms from the client would the nurse attend to as highest priority? Select all that apply.

A client is brought into the emergency department after suffering from third-degree burns in an explosion. The client has burns on approximately 40 percent of his body. The nurse weighs the client and notes that he weighs 170 lbs. Calculate the volume of IV fluid this client must receive in the first 24 hours using the Parkland formula.

A client is brought to the hospital after suffering severe burns and inhalation injury after an explosion. The nurse assesses the client and provides information to the provider, who orders a bronchoscopy. Which best describes why the client would need this test?

The nurse is receiving report on a client with chemical burns over 70% of the body. The outgoing nurse states that the client’s pain is a 7/10. The client has been averaging 80 ml/hr out of urine output and receiving 125 ml/hr 0.9% normal saline into a central venous catheter. The serum sodium is 133, K is 3.4, and Mag is 1.9. Vital signs are stable. The client is receiving antibiotics and is on a regular diet. What is the nurse’s primary concern?

A 7-year old suffered extensive burns over the upper body and is participating in out-patient physical therapy. What information should the nurse teach the parents about how to prevent contractures? Select all that apply.

An emergency department nurse is caring for a client with 2nd and 3rd degree burns on 40 percent of his body. The nurse knows that the effects of the burn on the cardiovascular system include which of the following? Select all that apply.

A 24-year-old client is brought in to the emergency department after suffering from a burn injury from a household accident. The client has 2nd and 3rd degree burns on 40 percent of his body. Which of the following cardiovascular complications could the nurse expect to see with this type of injury? Select all that apply.