CORRECT ANSWERS AND RATIONALES
◉ The nurse is assessing a client's burn for the zones of injury. Which
of the following will the nurse not assess in the client at this time?
1. Zone of coagulation
2. Zone of eschar
3. Zone of hyperemia
4. Zone of stasis. Answer: 2. Zone of eschar
There is no zone of eschar. The zones of injury are the zone of
coagulation, the zone of stasis, and the zone of hyperemia.
◉ Which of the following will the nurse most likely assess in a client
diagnosed with a second-degree burn?
1. No pain and necrotic areas
2. No pain and scarring
3. Pain and blisters
4. Pain and peeling after 2 to 5 days. Answer: 3. Pain and blisters
A second-degree burn is a partial-thickness burn. This type of burn is
very painful, has blisters that increase in size, blanches with pressure,
and may or may not require grafting. The other characteristics are for
first- or third-degree burns.
, ◉ The nurse, caring for a client with severe burns, realizes that the
client's care will progress through specific periods of treatment
EXCEPT:
1. acute period.
2. emergent period.
3. rehabilitation period.
4. stabilization period.. Answer: 4. stabilization period.
The three periods of treatment in the care of the seriously burned
client are the emergent period, the acute period, and the rehabilitation
period. There is no stabilization period of burn care.
◉ A client who has experienced a burn is in the emergent phase of
treatment that usually occurs during which of the following periods?
1. 24 to 48 hours
2. 36 to 72 hours
3. 48 to 96 hours
4. 1 to 7 days. Answer: 1. 24 to 48 hours
The emergent period is the first 24 to 48 hours after a burn. The acute
phase begins after the emergent period ends and lasts until the burn is
healed. The rehabilitation period begins with wound closure and
continues until the patient has reached the highest level of
functioning.