NUR 185 Exam 2: NUR 185 Exam 2 Study Guide: NUR 185 Exam 2 Review: Questions & Answers:Latest Updated 2026

What is the primary priority concern for a patient in the emergent stage of a burn injury? A) Oral antibiotic therapy B) Intravenous fluid resuscitation C) Initiating physical therapy exercises D) Application of dry skin lotions Correct Answer: B Rationale: The primary concern for burn patients in the emergent stage is IV fluid resuscitation to stabilize fluid shifts and prevent hypovolemic shock. 2. What is the first action a nurse should implement for a patient presenting to the emergency department with third-degree burns? A) Administer subcutaneous insulin B) Initiate fluid resuscitation C) Apply ice directly to burn areas D) Place the patient in a cold bath Correct Answer: B Rationale: The first intervention for a burn patient in the emergent phase is administering IV fluids to prevent vascular collapse. 3. Which dependent and independent nursing interventions are appropriate for a client admitted with third-degree burns? (Select all that apply) A) Administer pain control B) Remove non-adherent clothingC) Remove jewelry D) Apply ice packs to the wounds E) Lower body temperature with cold blankets Correct Answer: A, B, C Rationale: Interventions include pain management, removing non-adherent clothing, and removing jewelry due to impending swelling and fluid shifts. Direct ice or severe cooling is contraindicated because it damages tissue. 4. When educating a patient on home burn prevention strategies prior to discharge, which instructions should be included? A) Turn pot handles toward the back of the stove B) Warm baby bottles in the microwave C) Apply sunscreen to children only on sunny summer days D) Remove carbon monoxide detectors if alarms trigger often Correct Answer: A Rationale: Burn prevention teaching includes turning pot handles inward, avoiding microwaving baby bottles, applying sunscreen liberally, and placing smoke and carbon monoxide detectors in the home. 5. Which topical antimicrobial medication is commonly used to treat burn wounds and promote healing? A) Silver sulfadiazine (Silvadene) B) Hydrocortisone ointment C) Diphenhydramine cream D) Nystatin topical powder Correct Answer: ARationale: Silver sulfadiazine (Silvadene) is a standard topical agent used to prevent and treat infection at burn wound sites. 6. What expected side effect should the nurse include when teaching a client about applying topical mafenide acetate (Sulfamylon) to a burn site?