NURS 4581 - Exam 3 Escape Room | Questions with 100% Verified Answers |
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Question: The severity of each burn injury is determined by which of these factors?
A. Depth of the burn, weight of the patient
B. Presence of inhalation injury, depth of the burn
C. Amount of surface area of the body that is burned, gender of the patient
D. Gender of the patient, duration of the burn
Answer:
B. Presence of inhalation injury, depth of the burn
Question: What are complications of burns? SATA
A. Electrolyte imbalances
B. Hypovolemia
C. Compartment syndrome
D. Low hematocrit
E. Inhalation injury
Answer:
A. Electrolyte imbalances
B. Hypovolemia
C. Compartment syndrome
E. Inhalation injury
Question: The nurse is concerned about hyperkalemia in her acutely burned patient. Besides monitoring
the lab value, we should also look for the following on the EKG monitor. SATA
A. Increased heart rate
B. Widening QRS
C. Flat P waves
D. Peaked T wave
Answer:
B. Widening QRS
D. Peaked T wave
Question: The fluid resuscitation for electrical burns is higher than thermal. True False
Answer:
True
Question: Which of these nursing actions should be done first for a patient who has suffered an electrical
burn injury while working on a power line?
A. Cover the burns with a sterile dressing
B. Start two large bore IVs
C. Connect to a cardiac monitor
, D. Assess level of consciousness
Answer:
C. Connect to a cardiac monitor
Question: A patient is admitted with a thermal burn to the anterior trunk and both entire arms. Using the
Rule of Nines, the percentage of the burn is ____. Enter in numeric answer only
Answer:
36
Question: Using the ABA formula for fl uid resuscitation, the IV pump should be set to run at__ml/hr for
the fi rst 8 hours on a 75kg patient with 50% second and third degreethermal burns. Enter in numeric
answer only rounding to one decimal (one tenth).
Answer:
468.8
Question: Using the ABA formula for fluid resuscitation, the IV pump should be set to run at _____
ml/hr in the first 8 hours on a 75kg client with 30% electrical burns. Enter in a numeric answer only
rounding to one decimal (one tenth).
Answer:
562.5
Question: Indications of inhalation injury include: SATA
A. Seared nasal hairs
B. Hoarseness of voice
C. Clear breath sounds
D. Carbonaceous sputum
Answer:
A. Seared nasal hairs
B. Hoarseness of voice
D. Carbonaceous sputum
Question: The nurse assesses a patient in compensatory shock whose lungs have decompensated. What
clinical manifestations would the nurse expect to find? (SATA)
A. A heart rate >100 bpm
B. Respirations <15 breaths/min
C. Crackles
D. Change in level of consciousness
E. Compensatory respiratory acidosis
Answer:
Latest Update
Question: The severity of each burn injury is determined by which of these factors?
A. Depth of the burn, weight of the patient
B. Presence of inhalation injury, depth of the burn
C. Amount of surface area of the body that is burned, gender of the patient
D. Gender of the patient, duration of the burn
Answer:
B. Presence of inhalation injury, depth of the burn
Question: What are complications of burns? SATA
A. Electrolyte imbalances
B. Hypovolemia
C. Compartment syndrome
D. Low hematocrit
E. Inhalation injury
Answer:
A. Electrolyte imbalances
B. Hypovolemia
C. Compartment syndrome
E. Inhalation injury
Question: The nurse is concerned about hyperkalemia in her acutely burned patient. Besides monitoring
the lab value, we should also look for the following on the EKG monitor. SATA
A. Increased heart rate
B. Widening QRS
C. Flat P waves
D. Peaked T wave
Answer:
B. Widening QRS
D. Peaked T wave
Question: The fluid resuscitation for electrical burns is higher than thermal. True False
Answer:
True
Question: Which of these nursing actions should be done first for a patient who has suffered an electrical
burn injury while working on a power line?
A. Cover the burns with a sterile dressing
B. Start two large bore IVs
C. Connect to a cardiac monitor
, D. Assess level of consciousness
Answer:
C. Connect to a cardiac monitor
Question: A patient is admitted with a thermal burn to the anterior trunk and both entire arms. Using the
Rule of Nines, the percentage of the burn is ____. Enter in numeric answer only
Answer:
36
Question: Using the ABA formula for fl uid resuscitation, the IV pump should be set to run at__ml/hr for
the fi rst 8 hours on a 75kg patient with 50% second and third degreethermal burns. Enter in numeric
answer only rounding to one decimal (one tenth).
Answer:
468.8
Question: Using the ABA formula for fluid resuscitation, the IV pump should be set to run at _____
ml/hr in the first 8 hours on a 75kg client with 30% electrical burns. Enter in a numeric answer only
rounding to one decimal (one tenth).
Answer:
562.5
Question: Indications of inhalation injury include: SATA
A. Seared nasal hairs
B. Hoarseness of voice
C. Clear breath sounds
D. Carbonaceous sputum
Answer:
A. Seared nasal hairs
B. Hoarseness of voice
D. Carbonaceous sputum
Question: The nurse assesses a patient in compensatory shock whose lungs have decompensated. What
clinical manifestations would the nurse expect to find? (SATA)
A. A heart rate >100 bpm
B. Respirations <15 breaths/min
C. Crackles
D. Change in level of consciousness
E. Compensatory respiratory acidosis
Answer:
