Burns Test Bank EXAM QUESTIONS WITH
COMPLETE SOLUTION GUIDE (A+ GRADED 100%
VERIFIED) LATEST VERSION 2025!!
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Terms in this set (30)
When assessing a patient b. Full-thickness skin destruction
who spilled hot oil on the
right leg and foot, the With full-thickness skin destruction, the appearance is
nurse notes that the skin is pale and dry or leathery and the area is painless
dry, pale, hard skin. The because of the associated nerve destruction.
patient states that the burn Erythema, swelling, and blisters point to a deep
is not painful. What term partial-thickness burn. With superficial partial-
would the nurse use to thickness burns, the area is red, but no blisters are
document the burn present. First-degree burns exhibit erythema,
depth? blanching, and pain.
a. First-degree skin
destruction
b. Full-thickness skin
destruction
c. Deep partial-thickness
skin destruction
d. Superficial partial-
thickness skin destruction
,On admission to the burn c. Increase the rate of the ordered IV solution.
unit, a patient with an
approximate 25% total The patients laboratory data show
body surface area (TBSA) hemoconcentration, which may lead to a decrease in
burn has the following blood flow to the microcirculation unless fluid intake
initial laboratory results: is increased. Because the hematocrit and hemoglobin
Hct 58%, Hgb 18.2 mg/dL are elevated, a transfusion is inappropriate, although
(172 g/L), serum K+ 4.9 transfusions may be needed after the emergent phase
mEq/L (4.8 mmol/L), and once the patients fluid balance has been restored. On
serum Na+ 135 mEq/L (135 admission to a burn unit, the urine output would be
mmol/L). Which action will monitored more often than every 4 hours; likely
the nurse anticipate taking every1 hour.
now?
a. Monitor urine output
every 4 hours.
b. Continue to monitor the
laboratory results.
c. Increase the rate of the
ordered IV solution.
d. Type and crossmatch
for a blood transfusion.
, A patient is admitted to b. Notify the health care provider and prepare for
the burn unit with burns to endotracheal intubation.
the head, face, and hands.
Initially, wheezes are The patients history and clinical manifestations
heard, but an hour later, suggest airway edema and the health care provider
the lung sounds are should be notified immediately, so that intubation can
decreased and no be done rapidly. Placing the patient in a more upright
wheezes are audible. What position or having the patient cough will not address
is the best action for the the problem of airway edema. Continuing to monitor
nurse to take? is inappropriate because immediate action should
a. Encourage the patient occur.
to cough and auscultate
the lungs again.
b. Notify the health care
provider and prepare for
endotracheal intubation.
c. Document the results
and continue to monitor
the patients respiratory
rate.
d. Reposition the patient in
high-Fowlers position and
reassess breath sounds.
COMPLETE SOLUTION GUIDE (A+ GRADED 100%
VERIFIED) LATEST VERSION 2025!!
Save
Terms in this set (30)
When assessing a patient b. Full-thickness skin destruction
who spilled hot oil on the
right leg and foot, the With full-thickness skin destruction, the appearance is
nurse notes that the skin is pale and dry or leathery and the area is painless
dry, pale, hard skin. The because of the associated nerve destruction.
patient states that the burn Erythema, swelling, and blisters point to a deep
is not painful. What term partial-thickness burn. With superficial partial-
would the nurse use to thickness burns, the area is red, but no blisters are
document the burn present. First-degree burns exhibit erythema,
depth? blanching, and pain.
a. First-degree skin
destruction
b. Full-thickness skin
destruction
c. Deep partial-thickness
skin destruction
d. Superficial partial-
thickness skin destruction
,On admission to the burn c. Increase the rate of the ordered IV solution.
unit, a patient with an
approximate 25% total The patients laboratory data show
body surface area (TBSA) hemoconcentration, which may lead to a decrease in
burn has the following blood flow to the microcirculation unless fluid intake
initial laboratory results: is increased. Because the hematocrit and hemoglobin
Hct 58%, Hgb 18.2 mg/dL are elevated, a transfusion is inappropriate, although
(172 g/L), serum K+ 4.9 transfusions may be needed after the emergent phase
mEq/L (4.8 mmol/L), and once the patients fluid balance has been restored. On
serum Na+ 135 mEq/L (135 admission to a burn unit, the urine output would be
mmol/L). Which action will monitored more often than every 4 hours; likely
the nurse anticipate taking every1 hour.
now?
a. Monitor urine output
every 4 hours.
b. Continue to monitor the
laboratory results.
c. Increase the rate of the
ordered IV solution.
d. Type and crossmatch
for a blood transfusion.
, A patient is admitted to b. Notify the health care provider and prepare for
the burn unit with burns to endotracheal intubation.
the head, face, and hands.
Initially, wheezes are The patients history and clinical manifestations
heard, but an hour later, suggest airway edema and the health care provider
the lung sounds are should be notified immediately, so that intubation can
decreased and no be done rapidly. Placing the patient in a more upright
wheezes are audible. What position or having the patient cough will not address
is the best action for the the problem of airway edema. Continuing to monitor
nurse to take? is inappropriate because immediate action should
a. Encourage the patient occur.
to cough and auscultate
the lungs again.
b. Notify the health care
provider and prepare for
endotracheal intubation.
c. Document the results
and continue to monitor
the patients respiratory
rate.
d. Reposition the patient in
high-Fowlers position and
reassess breath sounds.
