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Patients with severe burns may require skin grafts to promote full healing and coverage of an open wound
The nurse recognizes which IV fluid will best treat the acidosis associated with a burn injury?
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?
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?
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:
During the later stages (after the first 3 days) of a burn injury, the nurse would expect the patient to show signs of:
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:
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:
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?
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.
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.
A nurse is assessing a 9-year-old burn injury client in the emergency department. Which of the following assessment findings is the most concerning and therefore the priority?
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 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.
A client has just arrived to the emergency department and has sustained burns on the front and back of the right arm and leg. The client weighs 64 kg. Using the Parkland burn formula, how much fluid should this client receive in the first 8 hours after the injury?
A triage nurse takes a call from a client who has been burned while trying to do some electrical wiring. The nurse asks the client for more information. Which data from the client would indicate that they have suffered a 2nd-degree burn?
The nurse is caring for a child who was in a house fire. The nurse notes that the hairs on the child’s face are singed. Based on this assessment finding, the nurse monitors the client closely for which of the following complications that may occur following burn injuries?
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?
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.
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