and Answers / Sure A+
An important nursing diagnosis related to patients with burns during skin grafting is:
a. altered nutrition, less than body requirements.
b. body image disturbance.
c. decreased cardiac output.
d. fluid volume deficit. - b
Due to the interruption in skin integrity, patients with burn injuries are at high risk for:
a. acute renal failure
b. acute respiratory distress syndrome
c. infection and hypothermia
d. stress ulcers - c
For the first 24 hours after a burn injury, a standard fluid resuscitation formula is 4 mL/kg/% burn of
intravenous (IV) fluid for the first 24 hours. What is the total amount of fluid that will be administered to
a 70-kg man with a burn injury that covers 50% of his body surface area?
A. 2800
b 700 mL
c. 14 L
d. 28 L - C
In patients with extensive burns, edema occurs in both burned and unburned areas because of:
a. catecholamine-induced vasoconstriction.
b. decreased glomerular filtration.
c. increased capillary permeability.
d. loss of integument barrier. - C
, Nursing care of burns on the hands and feet should be aimed at:
a. keeping the limbs as immobile as possible.
b. preservation of limb function.
c. prevention of contamination.
d. providing a psychiatrist for consultation. - B
Patients with electrical burns are at higher risk for which of the following complications
a. cardiac dysrhythmias
b. contractures
c. infection
d. stress ulcers - a
Patients with electrical injury are at a high risk for renal failure secondary to:
a. hypervolemia from burn resuscitation.
b. increased incidence of ureteral stones.
c. nephrotoxic antibiotics for prevention of infection.
d. release of myoglobin from injured tissues. - D
Permanent measures for covering a full-thickness burn include:
a. autograft skin graft.
b. biological dressings.
c. cadaver skin graft.
d. pigskin graft. - A
Silver is an ingredient in many burn dressings. It is used because it: