Chapter 53 Patients With Burn Injury

Chapter 53  Patients With Burn Injury

Complete Chapter Questions And Answers
 

Sample Questions

1.
A male patient is brought to the emergency department (ED) from the site of a chemical fire. The paramedics report that the patient has a burn that involves the epidermis, dermis, and the muscle and bone of the right arm. When the nurse assesses the patient, the skin appears charred. Based on these assessment findings, what is the depth of the burn on the patient’s right arm?
A)
Superficial partial-thickness
B)
Deep partial-thickness
C)
Full partial-thickness
D)
Full-thickness

2.
A patient in the emergent/resuscitative phase of a burn injury has had her lab work drawn. Upon analysis of the patient’s laboratory studies, the nurse will expect the results to indicate what?
A)
Hyperkalemia, hyponatremia, elevated hematocrit, and metabolic acidosis
B)
Hypokalemia, hypernatremia, decreased hematocrit, and metabolic acidosis
C)
Hyperkalemia, hypernatremia, decreased hematocrit, and metabolic alkalosis
D)
Hypokalemia, hyponatremia, elevated hematocrit, and metabolic alkalosis

3.
A patient has an electrical burn and has developed thick eschar over the burn wound. Which of the following topical antibacterial agents will the nurse expect the health care provider to order for the wound?
A)
Silver sulfadiazine 1% (Silvadene) water-soluble cream
B)
Mafenide acetate 10% (Sulfamylon) hydrophilic-based cream
C)
Silver nitrate 0.5% aqueous solution
D)
Acticoat

4.
The occupational health nurse is called to the floor of the factory where a patient has sustained a flash burn to the right arm. The nurse arrives and the flames have been extinguished. The next step is to “cool the burn.” How should the nurse cool the burn?
A)
Apply ice to the site of the burn for 5 to 10 minutes.
B)
Wrap the patients affected extremity in ice until help arrives.
C)
Apply an oil-based substance or butter to the burned area until help arrives.
D)
Wrap cool towels around the affected extremity intermittently.

5.
The emergency department nurse has just admitted a patient with a burn. The nurse recognizes that the patient is likely to require a nasogastric tube when the burn exceeds a total body surface area (TBSA) of what percentage?
A)
10%
B)
15%
C)
20%
D)
25%

Answer Key

1.
D
2.
A
3.
B
4.
D
5.
D