N480 - Final Exam (Shock &
Burns (detailed & elaborated)
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
a nurse is caring for a pt admitted to the ER with extensive partial and full thickness burns of the
head, neck, and chest. while planning the pt's care, the nurse should be aware that initially, the
pt is at greatest risk for which of the following?
a. infection
b. airway obstruction
c. fluid imbalance
d. paralytic ileus - CORRECT ANSWER-b. airway obstruction
when assessing a pt's full thickness burn injury during the emergent phase, what would the
nurse expect to find?
a. massive edema at the injury site
b. red fluid filled vesicles
c. leathery dry hard skin
d. serous exudate on a shiny dark brown wound - CORRECT ANSWER-c. leathery dry hard skin
at the end of the emergent phase and the initial acute phase of burn injury, a pt has a serum Na
of 152 and a K of 2.8. what could have caused these imbalances?
a. free oral water intake
, b. mobilization of fluid and electrolytes in the acute phase
c. excessive fluid replacement with dextrose in water without K supplementation
d. prolonged hydrotherapy - CORRECT ANSWER-b. mobilization of fluid and electrolytes in the
acute phase
a pt has the following mixed deep partial thickness and full thickness burn injuries: face, right
anterior trunk, and anterior surfaces of the right arm and lower leg. according to the rule of
nines chart, what is the extent of the pt's burns?
a. 27% TBSA
b. 22.5% TBSA
c. 36% TBSA
d. 23% TBSA - CORRECT ANSWER-c. 36% TBSA
a pt arrives in the ER with facial and chest burns caused by a house fire. which action should the
nurse take first?
a. give the prescribed hydromorphone
b. auscultate the lung sounds
c. infuse the prescribed LR
d. determine the extent and depth of burns - CORRECT ANSWER-b. auscultate the lung sounds
a pt with deep partial thickness burns over 45% of his trunk and legs is going for debridement in
the cart shower 48 hours postburn. what is the drug of choice to control the pt pain during this
activity?
a. IV meperidine
b. long acting oral morphine
c. midazolam
d. IV morphine - CORRECT ANSWER-d. IV morphine
Burns (detailed & elaborated)
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ LATEST 100%
GUARANTEED PASS
a nurse is caring for a pt admitted to the ER with extensive partial and full thickness burns of the
head, neck, and chest. while planning the pt's care, the nurse should be aware that initially, the
pt is at greatest risk for which of the following?
a. infection
b. airway obstruction
c. fluid imbalance
d. paralytic ileus - CORRECT ANSWER-b. airway obstruction
when assessing a pt's full thickness burn injury during the emergent phase, what would the
nurse expect to find?
a. massive edema at the injury site
b. red fluid filled vesicles
c. leathery dry hard skin
d. serous exudate on a shiny dark brown wound - CORRECT ANSWER-c. leathery dry hard skin
at the end of the emergent phase and the initial acute phase of burn injury, a pt has a serum Na
of 152 and a K of 2.8. what could have caused these imbalances?
a. free oral water intake
, b. mobilization of fluid and electrolytes in the acute phase
c. excessive fluid replacement with dextrose in water without K supplementation
d. prolonged hydrotherapy - CORRECT ANSWER-b. mobilization of fluid and electrolytes in the
acute phase
a pt has the following mixed deep partial thickness and full thickness burn injuries: face, right
anterior trunk, and anterior surfaces of the right arm and lower leg. according to the rule of
nines chart, what is the extent of the pt's burns?
a. 27% TBSA
b. 22.5% TBSA
c. 36% TBSA
d. 23% TBSA - CORRECT ANSWER-c. 36% TBSA
a pt arrives in the ER with facial and chest burns caused by a house fire. which action should the
nurse take first?
a. give the prescribed hydromorphone
b. auscultate the lung sounds
c. infuse the prescribed LR
d. determine the extent and depth of burns - CORRECT ANSWER-b. auscultate the lung sounds
a pt with deep partial thickness burns over 45% of his trunk and legs is going for debridement in
the cart shower 48 hours postburn. what is the drug of choice to control the pt pain during this
activity?
a. IV meperidine
b. long acting oral morphine
c. midazolam
d. IV morphine - CORRECT ANSWER-d. IV morphine
