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Nursing Management: BURNS Final Exam Questions Correctly Answered. A patient with burns of more than 5% of his total body surface area is intubated, and enteral feedings are ordered to meet his nutritional demands. Which nursing interventions are appropriate for the enteral feeding of this pat...

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  • July 25, 2024
  • 5
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • burns
  • nursing management burns final exam questions cor

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  • BURNS
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Nursing Management: BURNS Final
Exam Questions Correctly Answered.

A patient with burns of more than 5% of his total body surface area is intubated, and enteral feedings
are ordered to meet his nutritional demands. Which nursing interventions are appropriate for the
enteral feeding of this patient? Select all that apply.



1. Determine whether the nasogastric tube is in place.



2. Assess bowel sounds every 8 hours.



3. Increase the feeding to the goal rate within 24 to 48 hours.



4. Begin the feedings slowly at the rate of 10 to 20 mL/hr.



5. Check gastric residuals frequently - CORRECT ANSWER 1. Determine whether the nasogastric tube is
in place.

2. Assess bowel sounds every 8 hours.

3. Increase the feeding to the goal rate within 24 to 48 hours.

5. Check gastric residuals frequently




A patient that is intubated and has suffered burns to more than 5% of the body surface area may need
gastric feedings to meet adequate nutritional requirements. Early enteral feeding helps to preserve
gastrointestinal function, increase intestinal blood flow, and promote optimal conditions for wound
healing. The nurse should check the placement of the nasogastric tube and assess bowel sounds every 8
hours. The enteral feedings should be started at 20-40 mL/hr and slowly increased to the goal rate
within 24-48 hours. Gastric residuals should be checked to rule out delayed gastric emptying.

Text Reference - p. 463

, A nurse works in an emergency department. Which patients are appropriate for the nurse to refer to the
burn care unit? Select all that apply.



1. A patient with an inhalation injury

2. A patient with burns of the feet

3. A patient with burns involving minor joints

4. An elderly patient with third-degree burns

5. A patient with partial thickness burns involving 8% of total body surface area - CORRECT ANSWER 1. A
patient with an inhalation injury

2. A patient with burns of the feet

4. An elderly patient with third-degree burns




A burn care unit provides advanced care to burn patients to prevent complications and keep the
condition from worsening. Inhalation injury increases the risk of airway obstruction and requires a
referral to the burn unit. Burns of both feet is associated with complications like contractures, and needs
to be referred to the burn care unit. Third-degree burns in any age-group require referral. Burns
involving minor joints do not require referral to burn centers; however, burns of major joints require
referral. Partial thickness burns require referral if they involve more than 10% of the body surface area.



The nurse is caring for a patient with superficial partial-thickness burns of the face sustained within the
last 12 hours. Upon assessment the nurse would expect to find which manifestation?

1

Blisters

2

Reddening of the skin

3

Destruction of all skin layers

4

Damage to sebaceous glands - CORRECT ANSWER 2

Reddening of the skin

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