What intervention will the nurse implement to reduce a client’s pain after a burn injury? A. Administering morphine 4 mg intravenously. B. Administering hydromorphone (Dilaudid) 4 mg intramuscularly. C. Applying ice to the burned area D. Avoiding tactile stimulation Correct Answer: A. Administering morphine 4 mg intravenously.… Read More »
Nurse Rodrigo is receiving an endorsement from the burn unit. Which of the following clients should he assess first? A. A client who has just been transferred from the PACU after having allograft. B. A client admitted 1 week ago with a superficial-thickness burn on the buttocks which has been waiting for 2… Read More »
Which vitamin deficiency is most likely to be a long-term consequence of a full-thickness burn injury? A. Vitamin A B. Vitamin B C. Vitamin C D. Vitamin D Correct Answer: D. Vitamin D Skin exposed to sunlight activates vitamin D. Partial-thickness burns reduce the activation of vitamin… Read More »
The burned client’s family asks at what point the client will no longer be at increased risk for infection. What is the nurse’s best response? A. “When fluid remobilization has started.” B. “When the burn wounds are closed.” C. “When IV fluids are discontinued.” D. “When body weight is normal.” … Read More »
On assessment, the nurse notes that the client has burns inside the mouth and is wheezing. Several hours later, the wheezing is no longer heard. What is the nurse’s next action? A. Documenting the findings B. Loosening any dressings on the chest C. Raising the head of the bed D. Preparing… Read More »
What statement indicates the client needs further education regarding skin grafting (allografting)? A. “Because the graft is my own skin, there is no chance it won’t ‘take.” B. “For the first few days after surgery, the donor sites will be painful.” C. “I will have some scarring in the area when the… Read More »
Which of the following route should the nurse expect the pain medication to be given to a client who was admitted with extensive burns? A. Oral B. Intramuscular C. Subcutaneous D. Intravenous Correct Answer: D. Intravenous For clients with major burns, the intravascular route is the preferred… Read More »
Which client factors should alert the nurse to potential increased complications with a burn injury? A. The client is a 26-year-old male. B. The client has had a burn injury in the past. C. The burned areas include the hands and perineum. D. The burn took place in an open field… Read More »
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 »
Ten hours after the client with 50% burns is admitted, her blood glucose level is 142 mg/dL. What is the nurse’s best action? A. Documents the finding B. Obtains a family history of diabetes C. Repeats the glucose measurement D. Stop IV fluids containing dextrose Correct Answer:… Read More »