NU 272: Tissue Integrity Questions With Complete Solutions
A child tips a pot of boiling water onto his bare legs. The mother
should:
Avoid touching the burned skin and take the child to the nearest
emergency department.
Cover the child's legs with ice cubes secured with a towel.
Immerse the child's legs in cool water.
Liberally apply butter or shortening to the burned areas. Correct
Answers Immerse the child's legs in cool water.
The application of cool water is the best first-aid measure.
Soaking the burned area intermittently in cool water or applying
cool towels gives immediate and striking relief from pain and
limits local tissue edema and damage.
A client with a burn injury is in acute stress. Which of the
following complications is prone to develop in this client?
Anemia
Gastric ulcers
Hyperthyroidism
Cardiac arrest Correct Answers Gastric ulcers
The release of histamine as a consequence of the stress response
increases gastric acidity. The client with a burn is prone to
develop gastric (Curling's) ulcers. Anemia develops because of
the heat destroying the erythrocytes. Release of histamine does
not cause hyperthyroidism or cardiac arrest.
, A client with a severe electrical burn injury is treated in the burn
unit. Which laboratory result would cause the nurse the most
concern?
BUN: 28 mg/dL
K+: 5.0 mEq/L
Na+: 145 mEq/L
Ca: 9 mg/dL Correct Answers BUN: 28 mg/dL
The elevated BUN would cause the nurse the most concern
(normal BUN is 7-20 mg/dL). The nurse should report decreased
urine output or increased BUN and creatinine values to the
physician. These laboratory values indicate possible renal
failure. Renal failure from burn patients is caused by fluid loss
which leads to decreased cardiac output (and blood flow to
kidneys).
In addition, myoglobinuria, associated with electrical burns, is
common with muscle damage and may also cause kidney failure
if not treated. The other values are within normal limits.
A nurse is assessing a client admitted with deep partial-thickness
and full-thickness burns on the face, arms, and chest. Which
finding indicates a potential problem?
Partial pressure of arterial oxygen (PaO2) value of 80 mm Hg
Urine output of 20 ml/hour
White pulmonary secretions
Rectal temperature of 100.6° F (38° C) Correct Answers Urine
output of 20 ml/hour
A child tips a pot of boiling water onto his bare legs. The mother
should:
Avoid touching the burned skin and take the child to the nearest
emergency department.
Cover the child's legs with ice cubes secured with a towel.
Immerse the child's legs in cool water.
Liberally apply butter or shortening to the burned areas. Correct
Answers Immerse the child's legs in cool water.
The application of cool water is the best first-aid measure.
Soaking the burned area intermittently in cool water or applying
cool towels gives immediate and striking relief from pain and
limits local tissue edema and damage.
A client with a burn injury is in acute stress. Which of the
following complications is prone to develop in this client?
Anemia
Gastric ulcers
Hyperthyroidism
Cardiac arrest Correct Answers Gastric ulcers
The release of histamine as a consequence of the stress response
increases gastric acidity. The client with a burn is prone to
develop gastric (Curling's) ulcers. Anemia develops because of
the heat destroying the erythrocytes. Release of histamine does
not cause hyperthyroidism or cardiac arrest.
, A client with a severe electrical burn injury is treated in the burn
unit. Which laboratory result would cause the nurse the most
concern?
BUN: 28 mg/dL
K+: 5.0 mEq/L
Na+: 145 mEq/L
Ca: 9 mg/dL Correct Answers BUN: 28 mg/dL
The elevated BUN would cause the nurse the most concern
(normal BUN is 7-20 mg/dL). The nurse should report decreased
urine output or increased BUN and creatinine values to the
physician. These laboratory values indicate possible renal
failure. Renal failure from burn patients is caused by fluid loss
which leads to decreased cardiac output (and blood flow to
kidneys).
In addition, myoglobinuria, associated with electrical burns, is
common with muscle damage and may also cause kidney failure
if not treated. The other values are within normal limits.
A nurse is assessing a client admitted with deep partial-thickness
and full-thickness burns on the face, arms, and chest. Which
finding indicates a potential problem?
Partial pressure of arterial oxygen (PaO2) value of 80 mm Hg
Urine output of 20 ml/hour
White pulmonary secretions
Rectal temperature of 100.6° F (38° C) Correct Answers Urine
output of 20 ml/hour
