Emergency Nursing Orientation 3.0: Burns - ENA-ENO-C36 Exam

According to the rule of nines, burns of the anterior trunk and both anterior arms account for which percentage of body surface area? - Answer- 27 percent Which intervention is indicated for a patient with circumferential full-thickness burns of the chest, inadequate chest expansion, and restlessness? - Answer- Escharotomy A scald burn is most likely to result from which mechanism? - Answer- Exposure to water at 140°F (60°C) Which sign or symptom is a characteristic of carbon monoxide poisoning? - Answer- Headache Among patients with contact burns, which body region is the most common injury site? - Answer- Palm of the hand Which hourly amount of intravenous fluid should the nurse administer to a 75-kg patient with a significant electrical burn? - Answer- 1,500 mL/hour Which type of burn causes extensive tissue damage from liquefaction necrosis? - Answer- Chemical burn from an alkali During the primary survey, which finding requires immediate intervention first? - Answer- Difficulty swallowing A partial-thickness burn has which characteristic? - Answer- Damage of the dermal layer According to the American Burn Association's classification of injury severity, where should care occur for an adult younger than age 40 with deep, partial-thickness burns over 27 percent of the total body surface area? - Answer- Specialized burn facility Which finding is a sign of circulatory compromise caused by a significant burn injury? - Answer- Ileus Which patient is in danger of airway obstruction and likely to require early intubation? - Answer- A camper whose clothing ignited while barbequing During combustion, which material can cause cyanide poisoning? - Answer- Leather For a patient with a minor thermal burn, the nurse should be prepared to perform which intervention? - Answer- Apply bacitracin (Bacitracin) to the wound before applying a dressing. For what amount of time would the patient be expected to demonstrate increased capillary permeability from large burns? - Answer- 2 to 3 weeks When caring for a patient with an electrical burn, the nurse should consider which factor? - Answer- Alternating current is more likely to cause ventricular fibrillation. Which burn injury is commonly associated with significant thermal damage of the upper airway? - Answer- Flash burn Which factor increases the risk for scald burns? - Answer- Diabetes Which body component is more resistant to electrical current and is less easily damaged by electrical injury? - Answer- Fat Using the Parkland formula (4 mL/kg/% total body surface area), the nurse should administer which amount of fluid over 24 hours to a 50-kg patient with burns over 35% of the total body surface area? - Answ