Deck 16: Nursing Care of People With Burns

Question 1

A person comes into the emergency department with full-thickness burns over 25% of his body. Which intravenous solution should the nurse prepare for this person?

A)Normal saline.
B)Hartmann's solution.
C)5% dextrose in normal saline.
D)4% dextrose in 1/5th normal saline.

Answer 1

Hartmann's solution.

Question 2

Passive range-of-motion exercises every two hours are prescribed for a person with full-thickness burns to the right arm. What should the nurse do prior to the next exercise session?

A)Change the burn dressing.
B)Reposition the person.
C)Change the person's bed linens.
D)Medicate for pain.

Answer 2

Medicate for pain.

Question 3

A person comes into the doctor's office after sustaining chemical burns to both hands. Where does this person need to be treated?

A)The hospital emergency department.
B)The outpatient ambulatory clinic.
C)The doctor's office and then at home.
D)A burn centre.

Answer 3

A burn centre.

Question 4

The nurse notes that a person with full-thickness burns has a reduction in serum potassium level. What should the nurse consider is occurring with this person?

A)Onset of burn shock.
B)Onset of cardiac failure.
C)Onset of kidney failure.
D)Resolution of burn shock.

Question 5

A person being treated with topical mafenide acetate for full-thickness burns is demonstrating facial and neck oedema. What should the nurse consider as the reason for this manifestation?:

A)Positive reaction to the medication.
B)Side effect of the medication.
C)Hypersensitivity reaction to the medication.
D)Inadequate response to the medication.

Question 6

A woman comes into the clinic complaining of nausea and vomiting after spending the weekend at a seaside resort. On which area should the nurse focus when assessing this person?

A)Eating pattern.
B)Recent sunburn.
C)Rest and sleep pattern.
D)Alcohol consumption.

Question 7

A person with a major burn has dead skin and eschar. What should the nurse use to clean this wound?

A)Iodine solution.
B)Silver sulfadiazine.
C)A mild, antimicrobial soap.
D)Chlorhexidine.

Question 8

A person with full-thickness burns is prescribed a gastrointestinal medication. What is the primary action of this medication?

A)Promote peristalsis.
B)Prevent the onset of stress ulcers.
C)Treat a pre-existing duodenal ulcer.
D)Minimise anorexia.

Question 9

A person with full-thickness burns receiving high-volume intravenous fluids has a urine output of 40 mL per hour. What is the significance of this urine volume?

A)Indicates pending renal failure.
B)Suggests overhydration.
C)Suggests dehydration.
D)Indicates adequate kidney functioning.

Question 10

A child is brought into the emergency department after being burned in an explosion. Name the burn assessment method that provides the best information about the total body surface area injured by the burn.

Question 11

Following surgical debridement, a person with full-thickness burns does not bleed. What should this finding indicate to the nurse?

A)Hypovolemia is present.
B)The procedure needs to be repeated.
C)Peripheral vascular shutdown is occurring.
D)The procedure is no longer indicated.

Question 12

A person with a burn denies experiencing pain. Which type of burn should the nurse realise this person is experiencing?

A)Superficial.
B)Superficial partial-thickness.
C)Deep partial-thickness.
D)Full-thickness.

Question 13

A person has extensive burns involving the front of both legs. Using the Wallace rule of nines, what percentage of this person's total body surface area is burned?

A)9)
B)18.
C)27.
D)36.

Question 14

A person with full-thickness burns to the face is informed about extensive scarring that will occur once the burn heals. Which nursing diagnosis is most applicable to the person at this time?

A)Powerlessness.
B)Fluid Volume Deficit.
C)Potential for Infection.
D)Risk of Ineffective Airway Clearance.

Question 15

The family of a person with full-thickness burns asks why the 'scabs are being cut off' the person's leg. How should the nurse respond to the family?

A)'The scabs are removed to check for blood flow to the burned area.'
B)'The scabs are old burned tissue that needs to be removed to promote healing.'
C)'I'll ask the doctor to come and talk with you about the treatment plan.'
D)'The person asked for the scabs to be removed.'

Question 16

A person comes into the clinic to be seen for a burn that appears moist with blistering. For which type of burn should the nurse plan care for this person?

A)Superficial.
B)Superficial partial-thickness.
C)Deep partial-thickness.
D)Full-thickness.

Question 17

What percentage of a child's total body surface area needs to be burned for the nurse to consider inserting an indwelling catheter to measure urinary output?

A)5)
B)10.
C)20.
D)25.

Question 18

A person with a full-thickness burn to the left thigh and left forearm is treated with silver sulfadiazine (SSD)cream. What is the purpose of this medication?

A)Wound debridement.
B)Local analgesia.
C)Skin moisturisation.
D)Antimicrobial protection.

Question 19

A person is being seen in the emergency department after sustaining a burn to both arms and legs. List all of the information the nurse should collect during the first interview with this person.

Question 20

A person with extensive burns has myoglobinuria. For which health problem should the nurse plan care for this person?

A)Carbon monoxide poisoning.
B)Acute tubular necrosis.
C)Destruction of adipose tissue.
D)Haemoconcentration.