TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
Many variables influence the outcome of elderly burn patient mortality, including preinjury
hydration status, nutrition status, and comorbid diseases, especially heart failure. Assessment
questions should include, as a priority, information about the patient's cardiovascular status,
including heart failure. Obtaining food or drug allergy information is also important along with other
past medical history, including past surgeries. Information on the patient's living arrangements is an
important safety consideration for discharge planning. - CORRECT ANSWERS The nurse is
conducting an admission assessment of an 82-year-old patient who sustained a 12% burn from
spilling hot coffee on the hand and arm. Which statement is of priority to assist in planning
treatment?
a.
"Do you live alone?"
b.
"Do you have any drug or food allergies?"
c.
"Do you have a heart condition or heart failure?"
d.
"Have you had any surgeries?"
ANS: A
Patients with toxic epidermal necrolysis, Stevens-Johnson Syndrome (SJS), and erythema multiforme
present with acute onset fever and flulike symptoms, with erythema and blisters developing within
24 to 96 hours, skin and mucous membranes slough, resulting in a significant and painful partial-
thickness injury. Staphylococcal scalded skin syndrome presents predominantly in children.
Necrotizing soft tissue infection results from rapidly invasive bacterial infections. Graft versus host
disease is not logical given the clinical information provided. - CORRECT ANSWERS A 63-year-old
patient is admitted with new onset fever; flulike symptoms; blisters over her arms, chest, and neck;
and red, painful, oral mucous membranes. The patient should be further evaluated for which
possible non-burn injured skin disorder?
a.
Toxic epidermal necrolysis
b.
Staphylococcal scalded skin syndrome
c.
Necrotizing soft tissue infection
d.
Graft versus host disease
,TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
ANS: B
Tissue damage results from the conversion of electrical energy into heat. Monitor the patient for
cardiac dysrhythmias. - CORRECT ANSWERS A(An) ____________________ often produces a
superficial cutaneous injury but may cause cardiopulmonary arrest and transient but severe central
nervous system deficits.
a.
chemical burn
b.
electrical burn
c.
heat burn
d.
infection
ANS: A, B, C
The rapid metabolism associated with burn injury may require additional pain medication. Many of
the procedures associated with burn wounds are painful, such as dressing changes. Adequate pain
medication should be given prior to the procedures. Edema in burned patients alters the absorption
of medications that are injected intramuscularly; therefore, drugs must be administered by the IV
route. - CORRECT ANSWERS Which of the following statements about the pain management of a
burn victim are true? (Select all that apply.)
a.
Additional pain medication may be needed because of rapid body metabolism.
b.
Pain medication should be given before procedures such as debridement, dressing changes, and
physical therapy.
c.
Patients with a history of drug and alcohol abuse will require higher doses of pain medication.
d.
The intramuscular route is preferred for pain medication administration.
ANS: B, C, E
,TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
Venous thromboembolism (VTE) is a significant risk for patients who have thermal injury, venous
stasis associated with immobility/bedrest, hypercoagulability seen with burn injuries greater than
10% TBSA, and hypovolemia associated with delayed fluid resuscitation. Burns to lower extremities
will limit mobility and use of sequential compression devices, increasing the potential risk for VTE.
Electrical burn injury may pose a risk for VTE; however, VTE is more closely associated with thermal
injuries greater than 10% TBSA. - CORRECT ANSWERS Which of the following factors increase the
burn patient's risk for venous thromboembolism? (Select all that apply.)
a.
Burn injury less than 10%
b.
Bedrest
c.
Burns to lower extremities
d.
Electrical burn injury
e.
Delayed fluid resuscitation
ANS: A, B, D
It is important to avoid immobility in patients with burns of the hands, feet, or major joints.
Measures must be taken to maintain the function of the hands, feet, and major joints. Nursing
interventions to maintain range of motion, applying splits to keep the extremities in a position of
function, and individually wrapping fingers and toes are necessary to maintain function of the hands,
feet, and joints. Effective pain management is necessary to encourage mobility. - CORRECT
ANSWERS The nurse is caring for a patient with burns to the hands, feet, and major joints. The nurse
plans care to include which of the following? (Select all that apply.)
a.
Applying splints that maintain the extremity in an extended position
b.
Implementing passive or active range-of-motion exercises
c.
Keeping the limbs as immobile as possible
d.
Wrapping fingers and toes individually with bandages
, TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
ANS: A, C, E
Nurses can help reduce the risk of infection by using topical antibacterial wound ointments and
dressings as prescribed, daily questioning the need for invasive devices such as central IV access and
indwelling urinary catheters, and maintaining aseptic technique during all care provided to the
patient. Changing the indwelling urinary catheter will not reduce the risk of infection; wound care is
achieved by aseptic technique; and restricting family is not an intervention related to infection
prevention. - CORRECT ANSWERS Which of the following infection control strategies should the
nurse implement to decrease the risk of infection in the burn-injured patient? (Select all that apply.)
a.
Apply topical antibacterial wound ointments/dressings.
b.
Change indwelling urinary catheter every 7 days.
c.
Daily assess the need for central IV catheters.
d.
Restrict family visitation.
e.
Maintain strict aseptic technique during burn wound management.
ANS: A, B, D, E, G, H
Electrical injuries vary in severity of injury by the intensity of energy exposed to the body.
Manifestations and complications may include cardiac dysrhythmias or cardiopulmonary arrest,
hypoxia, deep tissue necrosis, rhabdomyolysis and acute kidney injury, compartment syndrome, long
bone fractures, acute cataract formation, and neurological deficits (including seizures). Hypertension
and peptic ulcer disease are not direct consequences of electrical burn injuries. - CORRECT
ANSWERS Which complications may manifest after an electrical injury? (Select all that apply.)
a.
Long bone fractures
b.
Cardiac dysrhythmias
c.
Hypertension
d.
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
Many variables influence the outcome of elderly burn patient mortality, including preinjury
hydration status, nutrition status, and comorbid diseases, especially heart failure. Assessment
questions should include, as a priority, information about the patient's cardiovascular status,
including heart failure. Obtaining food or drug allergy information is also important along with other
past medical history, including past surgeries. Information on the patient's living arrangements is an
important safety consideration for discharge planning. - CORRECT ANSWERS The nurse is
conducting an admission assessment of an 82-year-old patient who sustained a 12% burn from
spilling hot coffee on the hand and arm. Which statement is of priority to assist in planning
treatment?
a.
"Do you live alone?"
b.
"Do you have any drug or food allergies?"
c.
"Do you have a heart condition or heart failure?"
d.
"Have you had any surgeries?"
ANS: A
Patients with toxic epidermal necrolysis, Stevens-Johnson Syndrome (SJS), and erythema multiforme
present with acute onset fever and flulike symptoms, with erythema and blisters developing within
24 to 96 hours, skin and mucous membranes slough, resulting in a significant and painful partial-
thickness injury. Staphylococcal scalded skin syndrome presents predominantly in children.
Necrotizing soft tissue infection results from rapidly invasive bacterial infections. Graft versus host
disease is not logical given the clinical information provided. - CORRECT ANSWERS A 63-year-old
patient is admitted with new onset fever; flulike symptoms; blisters over her arms, chest, and neck;
and red, painful, oral mucous membranes. The patient should be further evaluated for which
possible non-burn injured skin disorder?
a.
Toxic epidermal necrolysis
b.
Staphylococcal scalded skin syndrome
c.
Necrotizing soft tissue infection
d.
Graft versus host disease
,TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
ANS: B
Tissue damage results from the conversion of electrical energy into heat. Monitor the patient for
cardiac dysrhythmias. - CORRECT ANSWERS A(An) ____________________ often produces a
superficial cutaneous injury but may cause cardiopulmonary arrest and transient but severe central
nervous system deficits.
a.
chemical burn
b.
electrical burn
c.
heat burn
d.
infection
ANS: A, B, C
The rapid metabolism associated with burn injury may require additional pain medication. Many of
the procedures associated with burn wounds are painful, such as dressing changes. Adequate pain
medication should be given prior to the procedures. Edema in burned patients alters the absorption
of medications that are injected intramuscularly; therefore, drugs must be administered by the IV
route. - CORRECT ANSWERS Which of the following statements about the pain management of a
burn victim are true? (Select all that apply.)
a.
Additional pain medication may be needed because of rapid body metabolism.
b.
Pain medication should be given before procedures such as debridement, dressing changes, and
physical therapy.
c.
Patients with a history of drug and alcohol abuse will require higher doses of pain medication.
d.
The intramuscular route is preferred for pain medication administration.
ANS: B, C, E
,TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
Venous thromboembolism (VTE) is a significant risk for patients who have thermal injury, venous
stasis associated with immobility/bedrest, hypercoagulability seen with burn injuries greater than
10% TBSA, and hypovolemia associated with delayed fluid resuscitation. Burns to lower extremities
will limit mobility and use of sequential compression devices, increasing the potential risk for VTE.
Electrical burn injury may pose a risk for VTE; however, VTE is more closely associated with thermal
injuries greater than 10% TBSA. - CORRECT ANSWERS Which of the following factors increase the
burn patient's risk for venous thromboembolism? (Select all that apply.)
a.
Burn injury less than 10%
b.
Bedrest
c.
Burns to lower extremities
d.
Electrical burn injury
e.
Delayed fluid resuscitation
ANS: A, B, D
It is important to avoid immobility in patients with burns of the hands, feet, or major joints.
Measures must be taken to maintain the function of the hands, feet, and major joints. Nursing
interventions to maintain range of motion, applying splits to keep the extremities in a position of
function, and individually wrapping fingers and toes are necessary to maintain function of the hands,
feet, and joints. Effective pain management is necessary to encourage mobility. - CORRECT
ANSWERS The nurse is caring for a patient with burns to the hands, feet, and major joints. The nurse
plans care to include which of the following? (Select all that apply.)
a.
Applying splints that maintain the extremity in an extended position
b.
Implementing passive or active range-of-motion exercises
c.
Keeping the limbs as immobile as possible
d.
Wrapping fingers and toes individually with bandages
, TEST BANK QUESTIONS: CRITICAL EXAM 3 AND FINAL EXAM
QUESTIONS AND ANSWERS UPDATE 2024/2025 ALL ANSWERS 100%
CORRECT VERIFIED BEST EXAM SOLUTION RATED A+ FOR SUCCESS
ANS: A, C, E
Nurses can help reduce the risk of infection by using topical antibacterial wound ointments and
dressings as prescribed, daily questioning the need for invasive devices such as central IV access and
indwelling urinary catheters, and maintaining aseptic technique during all care provided to the
patient. Changing the indwelling urinary catheter will not reduce the risk of infection; wound care is
achieved by aseptic technique; and restricting family is not an intervention related to infection
prevention. - CORRECT ANSWERS Which of the following infection control strategies should the
nurse implement to decrease the risk of infection in the burn-injured patient? (Select all that apply.)
a.
Apply topical antibacterial wound ointments/dressings.
b.
Change indwelling urinary catheter every 7 days.
c.
Daily assess the need for central IV catheters.
d.
Restrict family visitation.
e.
Maintain strict aseptic technique during burn wound management.
ANS: A, B, D, E, G, H
Electrical injuries vary in severity of injury by the intensity of energy exposed to the body.
Manifestations and complications may include cardiac dysrhythmias or cardiopulmonary arrest,
hypoxia, deep tissue necrosis, rhabdomyolysis and acute kidney injury, compartment syndrome, long
bone fractures, acute cataract formation, and neurological deficits (including seizures). Hypertension
and peptic ulcer disease are not direct consequences of electrical burn injuries. - CORRECT
ANSWERS Which complications may manifest after an electrical injury? (Select all that apply.)
a.
Long bone fractures
b.
Cardiac dysrhythmias
c.
Hypertension
d.
