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

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?

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

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

Which parameter is commonly used as a guideline for adequate fluid replacement?

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

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

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 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 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?

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?