Example Care Plan_Burn Injury (First, Second, Third degree)

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 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:

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

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

During the later stages (after the 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?

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?

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

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:

Cold, pain, apprehension, and episodes of infection potentiate a catabolic state in the burn patient. The nursing care plan should address appropriate nutritional support, which requires large amounts of:

A burn ICU nurse receives a new admission with burns over 30% of the body. The client is sedated, receiving IV pain medication, and edematous. Which of the following is the nurse’s main concern?

A client with burns over 36% of the body is admitted to the burn unit. The nurse immediately checks for IV patency, and searches for a secondary IV site with the intent to start a second large-bore IV. Why?