Lewis - Chapter 24: Burns Exam Practice Questions and Answers
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Course
Lewis Medical-Surgical Nursing
Institution
Lewis Medical-Surgical Nursing
Lewis - Chapter 24: Burns Exam Practice
Questions and Answers
When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes dry, pale, and
hard skin. The patient states that the burn is not painful. What term would the nurse use to document
the burn depth?
a. First-de...
a. Encourage the patient to cough and auscultate the lungs again.
b. Notify the health care provider and prepare for endotracheal intubation.
c. Document the results and continue to monitor the patient's respiratory rate.
d. Reposition the patient in high-Fowler's position and reassess breath sounds. - Ans:✔✔-ANS: B
The patient's history and clinical manifestations suggest airway edema, and the health care provider
should be notified immediately so that intubation can be done rapidly. Placing the patient in a more
upright position or having the patient cough will not address the problem of airway edema. Continuing
to monitor is inappropriate because immediate action should occur.
DIF: Cognitive Level: Apply (application)
A patient with severe burns has crystalloid fluid replacement ordered using the Parkland formula. The
initial volume of fluid to be administered in the first 24 hours is 30,000 mL. The initial rate of
administration is 1875 mL/hr. After the first 8 hours, what rate should the nurse infuse the IV fluids?
a. 219 mL/hr c. 938 mL/hr
b. 625 mL/hr d. 1875 mL/hr - Ans:✔✔-ANS: C
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