NURS-4581 Quiz 5 Questions and 100% Correct Answers 2026/27 Update - UTA
Question 1
0..1 pts
The nurse is assessing the client with a circumferential burn to the left upper
extremity. The nurse anticipates the performance of an escharotomy with
which of the following assessment findings? Select all that apply.
Decrease in capillary refill.
Pink nail beds.
Progressive diminution of ultrasound signal.
Limited range of motion.
Absent distal radial pulses.
Skin color, sensation, capillary refill, and peripheral pulses should be
assessed and documented. Loss or a progressive diminution of the
ultrasound signal is an indication for escharotomy. Limited range of motion
can occur with any type of injury to an extremity and would not be an
indicator for an escharotomy. Pink nail beds would be a normal finding.
Question 2
0..1 pts
Which of these nursing interventions should be accomplished first for a client
who has suffered a burn injury, while working on an electrical power line and
was thrown to the ground?
Place a cervical collar on the client.
Place on a cardiac monitor.
Obtain the client's vital signs.
Assess for the contact points.
NURS-4581 Quiz 5
, When an electrical current travels through the body, it causes muscles to
contract violently which can lead to multiple fractures including the spinal
cord. Clients with electrical burns are treats as a trauma client, which
includes the application of a cervical collar, or immobilization device, then
connecting the patient to the cardiac monitor and obtaining the VS. The
client does not need to be assessed for contact points.
Question 3
0..1 pts
What is the the major rationale for the early initiation of enteral feedings in
the clients with major burns?
To ensure adequate calorie and protein intake.
To minimize the occurrence of fluid shift during the acute phase of the injury.
To provide supplemental vitamins and minerals.
To correct the water and electrolyte imbalances.
Burns produce a hypermetabolic state proportional to the size of the wound.
The clients require adequate calorie and protein intake. Enteral feedings are
initiated as soon as the GI function is ensured (bowel sounds are present,
etc.). Adequate fluids, vitamins, and minerals are also needed after a burn.
Early enteral feeding will not minimize or prevent fluid shifts during the acute
phase of injury, and may be dangerous if the client is in shock or has a
paralytic ileus.
Question 4
0..1 pts
A 165 lb. client has a 45% total body surface area (TBSA) thermal burn.
Using the American Burn Association (ABA) Resuscitation formula for fluid
resuscitation, the nurse should set the pump to administer how many mLs
per hour for the first 8 hours?.
421.9.
6300.
NURS-4581 Quiz 5
Question 1
0..1 pts
The nurse is assessing the client with a circumferential burn to the left upper
extremity. The nurse anticipates the performance of an escharotomy with
which of the following assessment findings? Select all that apply.
Decrease in capillary refill.
Pink nail beds.
Progressive diminution of ultrasound signal.
Limited range of motion.
Absent distal radial pulses.
Skin color, sensation, capillary refill, and peripheral pulses should be
assessed and documented. Loss or a progressive diminution of the
ultrasound signal is an indication for escharotomy. Limited range of motion
can occur with any type of injury to an extremity and would not be an
indicator for an escharotomy. Pink nail beds would be a normal finding.
Question 2
0..1 pts
Which of these nursing interventions should be accomplished first for a client
who has suffered a burn injury, while working on an electrical power line and
was thrown to the ground?
Place a cervical collar on the client.
Place on a cardiac monitor.
Obtain the client's vital signs.
Assess for the contact points.
NURS-4581 Quiz 5
, When an electrical current travels through the body, it causes muscles to
contract violently which can lead to multiple fractures including the spinal
cord. Clients with electrical burns are treats as a trauma client, which
includes the application of a cervical collar, or immobilization device, then
connecting the patient to the cardiac monitor and obtaining the VS. The
client does not need to be assessed for contact points.
Question 3
0..1 pts
What is the the major rationale for the early initiation of enteral feedings in
the clients with major burns?
To ensure adequate calorie and protein intake.
To minimize the occurrence of fluid shift during the acute phase of the injury.
To provide supplemental vitamins and minerals.
To correct the water and electrolyte imbalances.
Burns produce a hypermetabolic state proportional to the size of the wound.
The clients require adequate calorie and protein intake. Enteral feedings are
initiated as soon as the GI function is ensured (bowel sounds are present,
etc.). Adequate fluids, vitamins, and minerals are also needed after a burn.
Early enteral feeding will not minimize or prevent fluid shifts during the acute
phase of injury, and may be dangerous if the client is in shock or has a
paralytic ileus.
Question 4
0..1 pts
A 165 lb. client has a 45% total body surface area (TBSA) thermal burn.
Using the American Burn Association (ABA) Resuscitation formula for fluid
resuscitation, the nurse should set the pump to administer how many mLs
per hour for the first 8 hours?.
421.9.
6300.
NURS-4581 Quiz 5
