Which finding indicates that fluid resuscitation has been successful for a client with a burn injury? A. Hematocrit = 60% B. Heart rate = 130 beats/min C. Increased peripheral edema D. Urine output = 50 mL/hr Correct Answer: D. Urine output = 50 mL/hr The fluid remobilization… Read More »
A medicine student arrives at the emergency unit due to a burn injury that occurred inside the laboratory and an inhalation injury is suspected. Which of the following is the appropriate oxygen therapy for the client? A. Oxygen via nasal cannula at 5 L/min. B. Oxygen via a tight-fitting, non-rebreather face mask at… Read More »
What clinical manifestation should alert the nurse to possible carbon monoxide poisoning in a client who experienced a burn injury during a house fire? A. Pulse oximetry reading of 80% B. Expiratory stridor and nasal flaring C. Cherry red color to the mucous membranes D. Presence of carbonaceous particles in the… Read More »
In reviewing the burned client’s laboratory report of white blood cell count with differential, all the following results are listed. Which laboratory finding indicates the possibility of sepsis? A. The total white blood cell count is 9000/mm3. B. The lymphocytes outnumber the basophils. C. The “bands” outnumber the “segs.” D. The… Read More »
The client has experienced an electrical injury of the lower extremities. Which are the priority assessment data to obtain from this client? A. Current range of motion in all extremities B. Heart rate and rhythm C. Respiratory rate and pulse oximetry reading D. Orientation to time, place, and person … Read More »
Which finding indicates to the nurse that a client with a burn injury has a positive perception of his appearance? A. Allowing family members to change his dressings B. Discussing future surgical reconstruction C. Performing his own morning care D. Wearing the pressure dressings as ordered Correct… Read More »
The nurse is handling a client who sustained an electrical burn on the arm and wrist and is scheduled for a fasciotomy. After the procedure, the nurse should assess the affected extremity in which of the following? A. Sensation B. Color C. Distal circulation D. All of the above … Read More »
What clinical manifestation indicates that an escharotomy is needed on a circumferential extremity burn? A. The burn is full thickness rather than partial thickness. B. The client is unable to fully pronate and supinate the extremity. C. Capillary refill is slow in the digits and the distal pulse is absent. D.… Read More »
The client has a deep partial-thickness injury to the posterior neck. Which intervention is most important to use during the acute phase to prevent contractures associated with this injury? A. Place a towel roll under the client’s neck or shoulder. B. Keep the client in a supine position without the use of pillows.… Read More »