Chapter 53 Burns and Common Integumentary Disorders

Chapter 53  Burns and Common Integumentary Disorders

Complete Chapter Questions And Answers
 

Sample Questions

1.
A patient has had an alkali splash causing burns to the right upper extremity and the right side of the face. Which intervention by the nurse is a priority?
A)
Obtain a health history.
B)
Irrigate with water to the burned area.
C)
Apply an antibiotic cream.
D)
Start an intravenous line (IV) of normal saline at 10 mL/hr.

2.
A patient arrived in the emergency department (ED) after being found by a family member unconscious in the garage with the car running. High flow oxygen at 100% is administered in the ED. The nurse knows that which of the following diagnostic tests would be the best to determine that the present therapy is effective?
A)
Pulse oximetry
B)
Chest x-ray
C)
Serial carboxyhemoglobin levels
D)
Hemoglobin and hematocrit

3.
A patient has been treated for severe burns over 36% of the body. What assessment data obtained by the nurse indicates the patient may be experiencing septic shock? Select all that apply.
A)
White blood count (WBC) 7,200
B)
Blood pressure 60/40
C)
PaO2 72
D)
Urine output <10 mL/hour
E)
Blood pressure 140/76

4.
The nurse is caring for a patient 24 hours after fluid resuscitation for burns over 50% of the body. Which assessment data obtained by the nurse indicates complications from the fluid resuscitation?
A)
Absent peripheral pulses
B)
Crackles in lung fields
C)
Sinus bradycardia
D)
1+ pitting edema of the feet

5.
The nurse determines that the patient is at the end of the resuscitation phase of the burn injury. What assessment data has the nurse obtained that is a primary indicator of this phase?
A)
Pa02 of 90
B)
A reddish-brown color of urine
C)
Urine output of >30 mL/hr
D)
Urine output of <20 mL/hr

Answer Key

1.
B
2.
C
3.
B, C, D
4.
B
5.
D