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NU 214 EXAM 3 test Questions with Detailed Verified
Answers (100% Correct Answers) /Already Graded A+
A patient with circumferential burns on both legs develops a decrease in
dorsalis pedis pulses strength and numbness in the toes. Which action should
the nurse take first?
A. Monitor the pulses every hour
B. Notify the health care provider
C. Elevate both legs above heart level with pillows
D. Encourgae the patient to flew and extend toes
Ans: B. Notify the health care provider
On admission to the burn unit, a patient with an approximate 25% total body
surface area (TBSA) burn has the following inital laboratory results: HCT 58%,
Hgb 18.2 mg/dL, (172 g/L), serum K+ 4.9 mEq/L (4.8mmol/L). Which of the
following prescribed actions should be the nurses priority?
A. Monitor the urine output every 4 hours
B. Continue to monitor the laboratory results
C. Increasing the rate of the ordered IV solution
D. Typing and crossmatching for a blood transfusion
Ans: C. Increasing the rate of the ordered IV solution
Esomeprazole (Nexium) is prescribed for a patient who incurred extenssive
burn injuries 5 days ago. Which nursing assessment would best evaluate the
effectiveness of the drug?
A. Bowel sounds
B. Stool frequency
C. Stool Occult blood
D. Abdominal distention
Ans: C. Stool Occult blood
Approved By:
vPretest - Stuvia US
, 2
A patient who has burns n the arms, legs, , and chest from a house fire has
become agitated and restless 8 hours after being admitted to the hospital.
Which action should the nurse take first?
A. Stay at the bedside and reassure the patient
B. Administer the ordered morphine sulphate IV
C. Assess orientation and level of consciousness
D. Use pulse oximetry to check oxygen saturation
Ans: D. Use pulse oximetry to check oxygen saturation
Eight hours after a thermal burn covering 50% of a patients total body surface
area (TBSA), the nurse assesses the patient. The patient weighs 92kg (202.4
lbs). Which information would be a priority to communicate to the health care
provider?
A. Blood pressure is 95/48 per arterial line
B. Urine output of 41ml over the past 2 hours
C. Serous exudate is leaking from the burns
D. Heart monitor shows sinus tachycardia of 108
Ans: B. Urine output of 41ml over the past 2 hours
In which order will the nurse take these actions when doing a dressing change
for a partial thickness burn wound on a patients chest? (put a comma and a
space between each)
A. Apply sterile gauze dressing
B. Document wound appearance
C. Apply silver sulfadiazine cream
D. Give IV fentanyl (Sublimaze)
E. Clean wound with saline soaked gauze
Ans: D, E, C, A, B
When assessing a patient who spilled hot oil on the right leg and foot, the
nurse notes dry, pale, and hard skin. The patient states that the burn is not
painful. What term would the nurse use to document the burn depth?
Approved By:
vPretest - Stuvia US
NU 214 EXAM 3 test Questions with Detailed Verified
Answers (100% Correct Answers) /Already Graded A+
A patient with circumferential burns on both legs develops a decrease in
dorsalis pedis pulses strength and numbness in the toes. Which action should
the nurse take first?
A. Monitor the pulses every hour
B. Notify the health care provider
C. Elevate both legs above heart level with pillows
D. Encourgae the patient to flew and extend toes
Ans: B. Notify the health care provider
On admission to the burn unit, a patient with an approximate 25% total body
surface area (TBSA) burn has the following inital laboratory results: HCT 58%,
Hgb 18.2 mg/dL, (172 g/L), serum K+ 4.9 mEq/L (4.8mmol/L). Which of the
following prescribed actions should be the nurses priority?
A. Monitor the urine output every 4 hours
B. Continue to monitor the laboratory results
C. Increasing the rate of the ordered IV solution
D. Typing and crossmatching for a blood transfusion
Ans: C. Increasing the rate of the ordered IV solution
Esomeprazole (Nexium) is prescribed for a patient who incurred extenssive
burn injuries 5 days ago. Which nursing assessment would best evaluate the
effectiveness of the drug?
A. Bowel sounds
B. Stool frequency
C. Stool Occult blood
D. Abdominal distention
Ans: C. Stool Occult blood
Approved By:
vPretest - Stuvia US
, 2
A patient who has burns n the arms, legs, , and chest from a house fire has
become agitated and restless 8 hours after being admitted to the hospital.
Which action should the nurse take first?
A. Stay at the bedside and reassure the patient
B. Administer the ordered morphine sulphate IV
C. Assess orientation and level of consciousness
D. Use pulse oximetry to check oxygen saturation
Ans: D. Use pulse oximetry to check oxygen saturation
Eight hours after a thermal burn covering 50% of a patients total body surface
area (TBSA), the nurse assesses the patient. The patient weighs 92kg (202.4
lbs). Which information would be a priority to communicate to the health care
provider?
A. Blood pressure is 95/48 per arterial line
B. Urine output of 41ml over the past 2 hours
C. Serous exudate is leaking from the burns
D. Heart monitor shows sinus tachycardia of 108
Ans: B. Urine output of 41ml over the past 2 hours
In which order will the nurse take these actions when doing a dressing change
for a partial thickness burn wound on a patients chest? (put a comma and a
space between each)
A. Apply sterile gauze dressing
B. Document wound appearance
C. Apply silver sulfadiazine cream
D. Give IV fentanyl (Sublimaze)
E. Clean wound with saline soaked gauze
Ans: D, E, C, A, B
When assessing a patient who spilled hot oil on the right leg and foot, the
nurse notes dry, pale, and hard skin. The patient states that the burn is not
painful. What term would the nurse use to document the burn depth?
Approved By:
vPretest - Stuvia US
