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A nurse is caring for a client who has a superficial partial thickness burn.
Which of the following is an appropriate action for the nurse to take?
A. Administer an IV infusion of 0.9% sodium chloride
B. Apply cool, wet compress to the affected area
C. Clean the affected area using a soft-bristle brush
D. Administer morphine sulfate
• Answer -ANSWER-B
A nurse is caring for a client who has a major burn and is experiencing
severe pain. Which of the following is an appropriate nursing
intervention to manage this client's pain?
A. Administer morphine sulfate via IV continuous infusion
B. Administer meperidine (Demerol) IM as needed
C. Administer acetaminophen (Tylenol) PO ever 4 hours
D. Administer hydrocodone (Vicodin) PO every 6 hours
• Answer -ANSWER-A
,A nurse is caring for a client who has a moderate burn. Which of the
following is an appropriate action for the nurse to take?
A. Maintain immobilization of the affected area
B. Expose affected areas to the air
C. Initiate a high-protein, high-calorie diet
D. Implement contact isolation
• Answer -ANSWER-C
The nurse is preparing to discharge a pediatric client following an
extensive burn. The nurse knows that it is essential to include what in
the discharge instructions to the client and family? (Select all that
apply)
A. Nutrition and dietary needs
B. Use of a sling to decrease use of extremities
C. Signs of infection and actions to take
D. Protection of the burned surface
E. Range of motion exercises
• Answer -ANSWER-A, C, D, & E
The nurse, who is explaining hydrotherapy to an adolescent burn
victim, states that hydrotherapy is used for what reason? (Select all that
apply)
A. Cleansing extensive wounds before debridement
,B. Increasing vasodilation and circulation
C. Protecting against fluid loss
D. Decreasing the need for an allograft
E. Speeding healing
• Answer -ANSWER-A, B, & E
A child has been burned and is brought to the emergency department
(ED). Initial assessment shows that the child's face and the hair in the
nares are singed. The pulse is elevated, and breathing is rapid. What is
the nurse's first concern?
A. Circulation
B. Airway maintenance
C. Removal of the child's clothing
D. Fluid replacement
• Answer -ANSWER-B
The nurse is discharging a pediatric client from the emergency
department (ED) following treatment for a second-degree burn. When
should the nurse tell the parents to receive follow-up care for the
client?
A. Within 72 hr of initial treatment
B. Within 96 hr of initial treatment
C. Within 24 hr of initial treatment
, D. Within 48 hr of initial treatment
• Answer -ANSWER-D
The nurse reviews the orders for fluid replacement for a newly
admitted burned child. The child's parent asks why intravenous (IV)
fluids are necessary. Which response is most appropriate by the nurse?
A. "IV fluids are necessary to enhance wound healing."
B. "IV fluids are not necessary for your child. I will speak to the health
care provider."
C. "IV fluids are necessary to prevent dehydration."
D. "IV fluids are necessary to maintain the cardiovascular and renal
systems."
• Answer -ANSWER-D
An 8-year-old child in the burn unit refuses to eat anything on the meal
tray. What intervention by the nurse is most helpful?
A. Allow the child to make food selections.
B. Allow the child to go to the playroom only if the child eats 75% of
each meal.
C. Encourage the child to eat, or a nasogastric (NG) tube may have to be
inserted.
D. Serve large meals to give the child many food choices.
• Answer -ANSWER-A