The burned client relates the following history of previous health problems. Which one should alert the nurse to the need for alteration of the fluid resuscitation plan? A. Seasonal asthma B. Hepatitis B 10 years ago C. Myocardial infarction 1 year ago D. Kidney stones within the last 6 month … Read More »
Rehabilitation is the final phase of burn care. Which of the following are the goals during this phase? Select all that apply. A. Provide emotional support. B. Prevent hypovolemic shock. C. Promote wound healing and proper nutrition. D. Fluid replacement. E. Help the client in gaining optimal physical functioning. … Read More »
The client has experienced an electrical injury, with the entrance site on the left hand and the exit site on the left foot. What are the priority assessment data to obtain from this client on admission? A. Airway patency B. Heart rate and rhythm C. Orientation to time, place, and person … Read More »
Louie, with burns over 35% of the body, complains of chilling. In promoting the client’s comfort, the nurse should: A. Maintain room humidity below 40% B. Place top sheet on the client C. Limit the occurrence of drafts D. Keep room temperature at 80 degrees Correct Answer:… Read More »
A 40-year-old male client who was burned was admitted under your care. Assessment reveals he has crackles, respiratory rate of 40/min, and is coughing up blood-tinged sputum. What action will the nurse take first? A. Administer digoxin B. Perform chest physiotherapy C. Monitor urine output D. Place the client in an… Read More »
Twelve hours after the client was initially burned, bowel sounds are absent in all four abdominal quadrants. Which is the nurse’s best action? A. Administers a laxative B. Documents the finding C. Increases the IV flow rate D. Repositions the client onto the right side Correct Answer:… Read More »
The nurse is administering fluids intravenously as ordered to a client who acquired a full-thickness burn injury on the abdomen. To determine the sufficiency of fluid resuscitation, the nurse would monitor which of the following would provide the most reliable parameter for determining adequacy? A. Level of consciousness B. Peripheral pulses C.… Read More »
The burned client newly arrived from an accident scene is prescribed to receive 4 mg of morphine sulfate by IV push. What is the most important reason to administer the opioid analgesic to this client by the intravenous route? A. The medication will be effective more quickly than if given intramuscularly. B. It… Read More »
The nursing instructor is going over burn injuries. The instructor tells the students that the nursing care priorities for a patient with a burn injury include wound care, nutritional support, and prevention of complications such as infection. Based upon these care priorities, the instructor is most likely discussing a patient in what phase of burn… Read More »
How will the nurse position a client with a burn wound to the posterior neck to prevent contractures? A. Have the client turn the head from side to side. B. Keep the client in a supine position without the use of pillows. C. Keep the client in a semi-Fowler’s position with her… Read More »