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Patients with severe burns may require skin grafts to promote full healing and coverage of an open wound
Which parameter is commonly used as a guideline for adequate fluid replacement?
After ensuring airway patency, obtaining baseline vitalsigns, and establishing an IV of Lactated Ringer’s solution, the patient’s condition stabilizes. Because airway obstruction may still occur, the nurse must assess frequently for airway patency. How long after injury should frequent airway assessments be made?
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 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?
The nurse recognizes which IV fluid will best treat the acidosis associated with a burn injury?
During the initial stages (first 3 days) of a burn injury, the nurse would expect the patient to show signs of:
Admission assessment of a 54.4 kg patient shows partialthickness and full-thickness burns over one half the back, the perineal area, and the posterior aspect of both legs and feet. Based on the standard fluid replacement formula, what is the maximum fluid the patient will receive over the first 24 hours based on this presentation?
A patient has been burned to the following areas: Anterior right leg-superficial partial thickness, entire left leg-superficial and partial thickness, and anterior chest-partial thickness. Using the rule of 9s, which of the follow is the total surface area burned?
A 28-year-old woman is admitted to the ED after a house fire. She has second- and third-degree burns over approximately 30% of her body-surface area, including her face. Endotracheal intubation is performed, and IV lines are established. The goals of IV therapy for this patient would be based on all of the following except:
During the later stages (after the first 3 days) of a burn injury, the nurse would expect the patient to show signs of:
The nurse is working in the emergency department when a 2-year-old is brought in with burns from the bath tub to both legs. The nurse knows that this constitutes burns to what percentage of the body?
The nurse is caring for an eight-year-old with severe burns and is preparing to perform a dressing change. The nurse knows to do which of the following to reduce stress and anxiety for the child? Select all that apply.
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 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 nurse is caring for a client who is recovering from a severe burn injury. The nurse keeps track of the client’s intake and output each day throughout the shift. Which choice best describes the purpose of monitoring intake and output for a burn client?
A nurse who works in a long-term care facility commonly has to administer TPN to clients with nutritional needs. Which of the following clients would most likely need TPN? Select all that apply.
The nurse is working in an urgent care center and is assessing a six-year-old who has a burn on the left hand. The nurse knows that a 2nd degree burn would have which of the following characteristics? Select all that apply.
An emergency department nurse is assessing a 12-year-old boy who has suffered a burn injury while helping his dad in the garage. The nurse performs a rapid initial assessment of the wounds and checks for signs of inhalation injury. Which of the following signs or symptoms would indicate an inhalation injury in this child? Select all that apply.
The nurse caring for a child with minor burns educates the parents with which of the following correct information for burn management at home? Select all that apply.
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.
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