Burns (exam Mode) By Rnpedia.com

38 Questions  I  By Rnpedia
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1.  The client who experienced an inhalation injury 6 hours ago has been wheezing. When the client is assessed, wheezes are no longer heard. What is the nurse’s best action?    
A.
B.
C.
D.
2.  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.
B.
C.
D.
3.  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.
B.
C.
D.
4.  Which statement by the client indicates correct understanding of rehabilitation after burn injury?    
A.
B.
C.
D.
5.  The burned client is ordered to receive intravenous cimetidine, an H2 histamine blocking agent, during the emergent phase. When the client's family asks why this drug is being given, what is the nurse’s best response?
A.
B.
C.
D.
6.  On admission to the emergency department the burned client's blood pressure is 90/60, with an apical pulse rate of 122. These findings are an expected result of what thermal injury–related response?      
A.
B.
C.
D.
7.  The newly admitted client has burns on both legs. The burned areas appear white and leather-like. No blisters or bleeding are present, and the client states that he or she has little pain. How should this injury be categorized?
A.
B.
C.
D.
8.  Which information obtained by assessment ensures that the client's respiratory efforts are currently adequate?    
A.
B.
C.
D.
9.  What statement by the client indicates the need for further discussion regarding the outcome of skin grafting (allografting) procedures?      
A.
B.
C.
D.
10.   In assessing the client's potential for an inhalation injury as a result of a flame burn, what is the most important question to ask the client on admission?    
A.
B.
C.
D.
11.  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.
B.
C.
D.
12.  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.
B.
C.
D.
13.  Which statement made by the client with facial burns who has been prescribed to wear a facial mask pressure garment indicates correct understanding of the purpose of this treatment?    
A.
B.
C.
D.
14.  Twelve hours after the client was initially burned, bowel sounds are absent in all four abdominal quadrants. What is the nurse’s best action?        
A.
B.
C.
D.
15.  The client with a dressing covering the neck is experiencing some respiratory difficulty. What is the nurse’s best first action?    
A.
B.
C.
D.
16.  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.
B.
C.
D.
17.  Which clinical manifestation indicates that the burned client is moving into the fluid remobilization phase of recovery?      
A.
B.
C.
D.
18.  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.
B.
C.
D.
19.  What clinical manifestation indicates that an escharotomy is needed on a circumferential extremity burn?  
A.
B.
C.
D.
20.  The burned client on admission is drooling and having difficulty swallowing. What is the nurse’s best first action?      
A.
B.
C.
D.
21.  The client, who is 2 weeks postburn with a 40% deep partial-thickness injury, still has open wounds. On taking the morning vital signs, the client is found to have a below-normal temperature, is hypotensive, and has diarrhea. What is the nurse’s best action?        
A.
B.
C.
D.
22.  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.
B.
C.
D.
23.  What additional laboratory test should be performed on any African American client who sustains a serious burn injury?    
A.
B.
C.
D.
24.  Which client factors should alert the nurse to potential increased complications with a burn injury?
A.
B.
C.
D.
25.  Which type of fluid should the nurse expect to prepare and administer as fluid resuscitation during the emergent phase of burn recovery?      
A.
B.
C.
D.
26.  The burned client's family ask at what point the client will no longer be at increased risk for infection. What is the nurse’s best response?    
A.
B.
C.
D.
27.  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.
B.
C.
D.
28.  Which vitamin deficiency is most likely to be a long-term consequence of a full-thickness burn injury?
A.
B.
C.
D.
29.  At what point after a burn injury should the nurse be most alert for the complication of hypokalemia?
A.
B.
C.
D.
30.  What is the priority nursing diagnosis for a client in the rehabilitative phase of recovery from a burn injury?    
A.
B.
C.
D.
31.  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.
B.
C.
D.
32.  The client has severe burns around the right hip. Which position is most important to be emphasized by the nurse that the client maintain to retain maximum function of this joint?    
A.
B.
C.
D.
33.  When should ambulation be initiated in the client who has sustained a major burn?    
A.
B.
C.
D.
34.  Ten hours after the client with 50% burns is admitted, her blood glucose level is 90 mg/dL. What is the nurse’s best action?  
A.
B.
C.
D.
35.  Which information obtained by assessment ensures that the client's respiratory efforts are currently adequate?    
A.
B.
C.
D.
36.  Which intervention is most important for the nurse to use to prevent infection by cross-contamination in the client who has open burn wounds?    
A.
B.
C.
D.
37.  Which intervention is most important to use to prevent infection by autocontamination in the burned client during the acute phase of recovery?    
A.
B.
C.
D.
38.  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.
B.
C.
D.
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