The client with a dressing covering the neck is experiencing some respiratory difficulty. What is the nurse’s initial action? A. Administer oxygen. B. Loosen the dressing. C. Notify the emergency team. D. Document the observation as the only action. Correct Answer: B. Loosen the dressing Respiratory difficulty… Read More »
Which of the following refers to a wound covering brought about by the donated human cadaver skin provided by the skin bank? A. Autograft. B. Homograft C. Heterograft D. Xenograft Correct Answer: B. Homograft Homograft is a tissue graft from a donor of the same species as… Read More »
Which clinical manifestation indicates that the burned client is moving into the fluid remobilization phase of recovery? A. Increased urine output, decreased urine specific gravity B. Increased peripheral edema, decreased blood pressure C. Decreased peripheral pulses, slow capillary refill D. Decreased serum sodium level, increased hematocrit Correct… Read More »
Which statement made by the client with facial burns who has been prescribed to wear a facial mask pressure garment indicates a correct understanding of the purpose of this treatment? A. “After this treatment, my ears will not stick out.” B. “The mask will help protect my skin from sun damage.” C.… Read More »
The nurse provides wound care for a client 48 hours after a burn injury. To achieve the desired outcome of the procedure, which nursing action will be carried out first? A. Applies silver sulfadiazine (Silvadene) ointment B. Covers the area with an elastic wrap C. Places a synthetic dressing over the area… Read More »
During the acute phase, the nurse applied gentamicin sulfate (topical antibiotic) to the burn before dressing the wound. The client has all the following manifestations. Which manifestation indicates that the client is having an adverse reaction to this topical agent? A. Increased wound pain 30 to 40 minutes after drug application B. Presence… Read More »
A client is being discharged today after undergoing autografting. What would the nurse include in the discharge instructions? A. Refrain from using splints. B. Avoid smoking. C. Exposed the site to sunlight. D. Encourage weight-bearing exercise. Correct Answer: B. Avoid smoking. Smoking can decrease the blood supply… Read More »
What is the priority nursing diagnosis during the first 24 hours for a client with full-thickness chemical burns on the anterior neck, chest, and all surfaces of the left arm? A. Risk for Ineffective Breathing Pattern B. Decreased Tissue Perfusion C. Risk for Disuse Syndrome D. Disturbed Body Image … Read More »
What is the priority nursing diagnosis for a client in the rehabilitative phase of recovery from a burn injury? A. Acute Pain B. Impaired Adjustment C. Deficient Diversional Activity D. Imbalanced Nutrition: Less than Body Requirements Correct Answer: B. Impaired Adjustment Recovery from a burn injury requires… Read More »
The nurse should teach the community that a minor burn injury could be caused by what common occurrence? A. Chimney sweeping every year B. Cooking with a microwave oven C. Use of sunscreen agents D. Use of space heaters Correct Answer: D. Use of space heaters Minor… Read More »