Which intervention is most important to use to prevent infection by autocontamination in the burned client during the acute phase of recovery? A. Changing gloves between wound care on different parts of the client’s body. B. Avoiding sharing equipment such as blood pressure cuffs between clients. C. Using the closed method of… Read More »
A client is prescribed by the physician to undergo an escharotomy. Which of the following statements made by the nurse is true regarding this procedure? A. “It is the surgical removal of a thin layer of the client’s own unburned skin.” B. “A lengthwise incision is made through the burn eschar to relieve… Read More »
All of the following laboratory test results on a burned client’s blood are present during the emergent phase. Which result should the nurse report to the physician immediately? A. Serum sodium elevated to 131 mmol/L (mEq/L) B. Serum potassium 7.5 mmol/L (mEq/L) C. Arterial pH is 7.32 D. Hematocrit is 52%… Read More »
Nurse Faith should recognize that fluid shift in a client with burn injury results from an increase in the: A. Total volume of circulating whole blood B. Total volume of intravascular plasma C. Permeability of capillary walls D. Permeability of kidney tubules Correct Answer: C. Permeability of… Read More »
A client who is admitted after a thermal burn injury has the following vital signs: blood pressure, 70/40; heart rate, 140 beats/min; respiratory rate, 25/min. He is pale in color and it is difficult to find pedal pulses. Which action will the nurse take first? A. Start intravenous fluids. B. Check the pulses… Read More »
Three days after a burn injury, the client develops a temperature of 100° F, a white blood cell count of 15,000/mm3, and a white, foul-smelling discharge from the wound. The nurse recognizes that the client is most likely exhibiting symptoms of which condition? A. Acute phase of the injury B. Autodigestion of collagen… Read More »
Which of the following medications given to a 12-year-old client for the treatment of deep partial-thickness burn is the most important to double-check with another licensed nurse before administering it? A. Aloe Vera Relief Burn spray. B. Silver Sulfadiazine ointment. C. Omeprazole 20 mg slow IV push. D. Amitriptyline (Elavil) 50… Read More »
The newly admitted client has a large burned area on the right arm. The burned area appears red, has blisters, and is very painful. How should this injury be categorized? A. Superficial B. Partial-thickness superficial C. Partial-thickness deep D. Full thickness Correct Answer: B. Partial-thickness superficial The… Read More »
Which information obtained by assessment ensures that the client’s respiratory efforts are currently adequate? A. The client is able to talk. B. The client is alert and oriented. C. The client’s oxygen saturation is 97%. D. The client’s chest movements are uninhibited. Correct Answer: C. The client’s… Read More »
The nurse uses topical gentamicin sulfate (Garamycin) on a client’s burn injury. Which laboratory value will the nurse monitor? A. Creatinine B. Red blood cells C. Sodium D. Magnesium level Correct Answer: A. Creatinine Gentamicin is nephrotoxic and sufficient amounts can be absorbed through burn wounds to… Read More »