Chapter 55. Nursing Care for Patients with Burns Exam Questions and Answers
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Course
Burns
Institution
Burns
. The nurse is at the scene of a fire caring for a patient with a thermal burn on the face, chest, and abdomen. What action should the nurse perform first?
a. Ensure an open airway.
b. Cover the burns with sterile dressings.
c. Wash the burn gently with dilute antiseptic.
d. Pour cool, clean wa...
Chapter 55. Nursing Care for Patients
with Burns Exam Questions and
Answers
. The nurse is at the scene of a fire caring for a patient with a thermal burn on the face,
chest, and abdomen. What action should the nurse perform first?
a. Ensure an open airway.
b. Cover the burns with sterile dressings.
c. Wash the burn gently with dilute antiseptic.
d. Pour cool, clean water over the burned areas. - Answer-a. Ensure an open airway.
. The nurse is caring for a patient with burns covering the entire surface of both arms
and the anterior trunk. Approximately what percentage of the patients body surface area
has been affected? - Answer-c. 36%
The nurse is caring for a patient in the initial phase of treatment for a partial-thickness
burn. The patient has been stabilized, with blood pressure 140/88 mm Hg, pulse 78
beats/min, respirations 22 breaths/min, and temperature 97.4F (36.3C). Which new
assessment finding should be immediately communicated to the health care provider
(HCP)?
a. Report of increasing pain
b. Temperature 99F (37.2C)
c. Serum-filled blister formation
d. Blood pressure 122/74 mm Hg - Answer-d. Blood pressure 122/74 mm Hg
The nurse is caring for a patient who is 2 days post-inhalation burn injury from a house
fire. Which outcome best indicates that nursing interventions for impaired gas exchange
have been effective?
a. PaCO2 is 56 mm Hg.
b. The patient is afebrile.
c. The patient is alert and oriented.
d. Peripheral pulses are present and strong - Answer-c. The patient is alert and
oriented.
A patient is having a surgical procedure done to promote peripheral tissue perfusion in
an extremity with full-thickness circumferential burns. What term should the nurse use to
document this procedure?
a. Excision
b. Skin graft
c. Dbridement
d. Escharotomy - Answer-d. Escharotomy
, The nurse is caring for a patient who is receiving fluid replacement after being burned
on 37% of the body. Nursing assessment reveals a blood pressure of 80/60 mm Hg,
heart rate of 120 beats/min, and urine output of 10 mL over the past hour. After
reporting these findings, which order should the nurse expect to be prescribed for this
patient?
a. Discontinue the IV fluid infusion.
b. Change the IV fluid to dextrose and water.
c. Increase the amount of IV fluid administered per hour.
d. Decrease the amount of IV fluid administered per hour. - Answer-c. Increase the
amount of IV fluid administered per hour.
The nurse is providing wound care to a patients skin graft donor sites used for burn
treatment. For which type of wound is this nurse providing care?
a. Skin tear
b. Full thickness
c. Split thickness
d. Partial thickness - Answer-d. Partial thickness
A donor site is considered a partial-thickness wound. A. A skin tear is accidental. B. C.
Full and split thicknesses describe different types of grafts, not donor sites.
The nurse is caring for a patient admitted to the burn unit with burns to 45% of the body.
After 3 days, the nurse notes that the patients temperature is newly elevated at 100.2F
(37.9C), and the patient exhibits new onset agitation and confusion. What should the
nurse do first?
a. Increase oral fluids to 3000 mL/day.
b. Notify the registered nurse (RN) or primary care provider.
c. Monitor the patient for further changes in mental status.
d. Administer a prn dose of acetaminophen (Tylenol) for the fever. - Answer-b. Notify
the registered nurse (RN) or primary care provider.
A patient is admitted to the emergency department with chemical burns to the chest and
abdomen. The RN immediately begins a sterile saline lavage. What should the licensed
practical nurse (LPN) do to assist during this procedure?
a. Apply a neutralizing agent.
b. Apply ice to the burned area.
c. Remove the patients clothing.
d. Prepare intravenous morphine for administration by the RN - Answer-c. Remove the
patients clothing.
The nurse is caring for a patient 3 days following a split-thickness burn injury from a fire.
Which observation indicates that nursing interventions to promote cardiac output have
been effective?
a. Blood pressure is 128/66 mmHg.
b. Radial pulses are thready at 112/min.
c. Urine output is 1050 mL in 24 hours.
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