Burns NCLEX TestBank and Burn Injury Nursing Management (Part 2: 20 Items)

1. Question The RN has assigned a client who has an open burn wound to the LPN. Which instruction is most important for the RN to provide the LPN? •  A. Administer the prescribed tetanus toxoid vaccine. •  B. Assess wounds for signs of infection. •  C. Encourage the client to cough and breathe deeply. •  D. Wash hands on entering the client's room. Correct Answer: D.  Wash hands on entering the client’s room. • Option D: Infection can occur when microorganisms from another person or the environment are transferred to the client. Hand washing with soap and water is the best way to get rid of germs in most situations. • Options A, B, & C: Although all the interventions listed can help reduce the risk of infection, hand washing is the most effective technique for preventing infection transmission. Question 2 of 20 2. Question Three days after a burn injury, the client develops a temperature of 100° F, white blood cell count of 15,000/mm3, and white, foul-smelling discharge from the wound. The nurse recognizes that the client is most likely exhibiting symptoms of which condition? •  A. Acute phase of the injury •  B. Autodigestion of collagen •  C. Granulation of burned tissue •  D. Wound infection Correct Answer: D. Wound infection  • Option D: Color change, purulent, foul-smelling drainage, increased white blood cell count, and fev................................