Skin Graft

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

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?

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

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:

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

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 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 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.

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 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 brought into the emergency department after suffering chemical burns during a work-related accident. The client was exposed to chemical powder on 40 percent of the body. Which of the following actions should the nurse perform first?

A nurse is providing fluid resuscitation to a child who weighs 19 kg with burns on 38% of his body. According to the Parkland Formula, how many total mL of Lactated Ringers will you administer to this client?

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?

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.

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 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 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.