Question 1

A nurse is required to care for a client with facial burns who is prescribed the open method treatment. Which of the following nursing interventions should a nurse perform?

Accepted Answer

A bed cradle or sheets are used to prevent the sheets from touching the client's face, which is important in the open method treatment of facial burns to avoid irritation and promote healing.

Question 2

A client with burns has undergone skin grafting. Which of the following instructions should a nurse provide the client?

Accepted Answer

Restricting movement for a period of time is essential to allow the skin graft to adhere properly and heal. Movement can disrupt the graft placement and delay healing.

Question 3

Which type of burn is similar to a sunburn?

Accepted Answer

Superficial burns, also known as first-degree burns, are similar to sunburns as they only affect the outermost layer of skin, causing redness and pain.

Question 4

Which of the following actions should a nurse perform to help reduce the accumulation of debris within the burn wound?

Accepted Answer

The answer of Which of the following actions should a...

Question 5

A client receiving emergency treatment for severe burns has just been assessed to establish the burn depth. Why is a nurse asked to reassess the burn depth after 72 hours?

Accepted Answer

The early appearance of the burn injury may change after 72 hours as the full extent of the injury may not be immediately apparent. Reassessing the burn depth after 72 hours is important for accurate classification and appropriate treatment planning.

Question 6

Which type of skin graft is more comparable in appearance to normal skin?

Accepted Answer

Full-thickness grafts are more comparable in appearance to normal skin because they involve the transfer of the entire dermis and epidermis layers of skin, including hair follicles, sweat glands, and nerve endings. This results in a graft that is more durable and aesthetically pleasing.

Question 7

Skin grafts are necessary for which of the following burns?

Accepted Answer

Skin grafts are necessary for full-thickness burns because the burn has damaged the entire thickness of the skin and cannot heal on its own. Superficial and first-degree burns can heal on their own without the need for skin grafts. Superficial partial thickness burns may require skin grafts in certain cases, but it is not always necessary.

Question 8

Which of the following clients with burns is more prone to infection and requires close monitoring by the nurse?

Accepted Answer

Burns in the perineal area are more prone to infection due to the proximity to bodily waste, making it critical for these clients to be closely monitored for signs of infection.

Question 9

Which type of debridement occurs when nonliving tissues sloughs away from uninjured tissues?

Accepted Answer

Natural debridement occurs when nonliving tissue naturally separates from uninjured tissue. Mechanical debridement involves removing the tissue by force (such as with a scalpel or scrubbing), enzymatic debridement involves using topical agents to break down the tissue, and surgical debridement involves surgically removing the tissue. However, none of these options match the description given in the question, making option B the correct answer.

Question 10

Which of the following is a disadvantage of surgical debridement?

Accepted Answer

The answer of Which of the following is a disadvantage...

Question 11

A nurse is required to monitor the effectiveness of fluid resuscitation in a client who is being treated for burns. Which of the following assessments would indicate the success of the fluid resuscitation?

Accepted Answer

A urinary output of 0.3 to 0.5 mL/kg/hour indicates adequate fluid resuscitation in a client with burns. Rapid heart rate, unlabored breathing with clammy skin, and consciousness are nonspecific indicators and may not necessarily indicate the success of fluid resuscitation.

Question 12

A client with a burn injury is in acute stress. Which of the following complications is prone to develop in this client?

Accepted Answer

Burn injury causes a cascade of physiological and psychological stress responses. One of the outcomes of acute stress is an increased risk of developing gastric ulcers due to increased secretion of stomach acid.

Question 13

Which of the following is true regarding a split-thickness skin graft?

Accepted Answer

A split-thickness skin graft involves harvesting the epidermis and a thin layer of dermis from the client's skin. This makes it less successful than full-thickness grafts, but its cosmetic appearance may be more desirable. Hair is not typically able to grow back from the surface of a split-thickness skin graft.

Question 14

Which of the following is the effect of protein catabolism in a client with severe burns?

Accepted Answer

Protein catabolism in a client with severe burns results in the breakdown of muscle tissue to provide amino acids for energy and wound healing. As a result, it compromises wound healing and immunocompetence, as well as potentially leading to malnutrition and impaired growth in children.

Question 15

Which of the following is a true statement regarding the purposes of skin grafts?

Accepted Answer

The purpose of skin grafts is to reduce scarring by replacing damaged skin with healthy skin. Skin grafts do not increase evaporative fluid loss, potential for infection, or prolong recovery.

Question 16

A client with superficial burns on the face and deep partial-thickness burns on the neck and chest undergoing treatment is anxious to know about skin grafting. For which of the following areas can skin grafting be suggested?

Accepted Answer

Skin grafting is typically suggested for deep partial-thickness burns, which are present on the neck and chest in this scenario. Superficial burns on the face generally heal without the need for grafting.

Question 17

Which of the following skin substitutes is a nylon-silicone membrane coated with a protein derived from pig tissue?

Accepted Answer

Biobrane is a skin substitute that consists of a nylon-silicone membrane coated with porcine-derived collagen, making it the correct choice.

Question 18

Which of the following types of shock will a nurse observe in a client with extensive burns?

Accepted Answer

Extensive burns lead to loss of fluids, electrolytes, and proteins, causing hypovolemia, which is the main cause of hypovolemic shock. Anaphylactic shock is caused by an allergic reaction, neurogenic shock by spinal cord damage, and septic shock by a severe infection.

Question 19

Which zone consists of the area where the injury is most severe and deepest?

Accepted Answer

Coagulation zone consists of the area where the injury is most severe and deepest. This zone is characterized by complete cessation of blood flow and irreversible tissue damage.

Question 20

Which type of graft utilizes the client's own skin for wound coverage?

Accepted Answer

Autograft utilizes the client's own skin for wound coverage.

Quiz 66: Caring for Clients With Burns