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

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:

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

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?

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:

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:

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?

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:

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?