Question 1

A nurse sees a patient get struck by lightning during a thunder storm on a golf course. What should be the FIRST action by the nurse?

Accepted Answer

The first priority in any medical emergency is to assess and stabilize the patient's airway, breathing, and circulation (ABCs). In this case, the nurse should immediately check for signs of breathing and circulation, such as pulse and respiratory rate.

Question 2

A patient recovering from a major burn injury is complaining of pain. Which of the following medications will be most therapeutic to the patient?

Accepted Answer

Intravenous morphine provides rapid and effective pain relief, which is crucial for managing acute pain in burn patients.

Question 3

When evaluating the laboratory values of the burn-injured patient, which of the following can be anticipated?

Accepted Answer

Burn injuries cause a fluid shift from intravascular to interstitial spaces, resulting in hemoconcentration. This causes an elevation in hematocrit and a decrease in plasma volume, which leads to a decreased hemoglobin level. Therefore, decreased hemoglobin and elevated hematocrit levels can be anticipated in a burn-injured patient.

Question 4

A patient comes into the emergency department with a chemical burn from contact with lye.Assessment and treatment of this patient will be based on what knowledge regarding this type of burn?  Select all that apply.

Accepted Answer

Lye is a type of alkali, which can cause deep burns. Acid burns tend to be more superficial and are easier to neutralize.

Question 5

A patient is being discharged after treatment for a scald burn that caused a superficial burn over one hand and a superficial partial-thickness burn on several fingers. What should be included in this patient's discharge instructions?  Select all that apply.

Accepted Answer

The answer of A patient is being discharged after treatment...

Question 6

A patient receiving treatment for severe burns over more than half of his body has an indwelling urinary catheter. When evaluating the patient's intake and output, which of the following should be taken into consideration?

Accepted Answer

In the initial 24-48 hours following severe burns, the body's response includes reduced urine output due to fluid shifts and loss, followed by an increase as fluid balance is restored and diuresis begins.

Question 7

A patient is scheduled for surgery to graft a burn injury on the arm. Which of the following statements should the nurse include when instructing the patient prior to the procedure?

Accepted Answer

Exercises to promote flexibility and reduce contractures typically begin after a few days post-surgery to ensure proper healing and prevent stiffness.

Question 8

In order for the nurse to correctly classify a burn injury, which of the following does the nurse need to assess?  Select all that apply.

Accepted Answer

In order for the nurse to correctly classify a burn injury, they need to assess the depth of the burn, the extent of burns on the body, the causative agent and the duration of exposure, and the location of burns on the body. The time that the burn occurred may also be important for determining appropriate treatment, but it is not necessary for classification of the burn injury.

Question 9

A patient has experienced a burn injury. Which of the following interventions by the nurse is of the highest priority at this time?

Accepted Answer

Determining the type of burn injury is the highest priority as it will dictate the treatment plan and guide interventions such as wound care, pain management, and fluid resuscitation.

Question 10

A patient arrives at the emergency department with an electrical burn. What assessment  Select all that apply.

Accepted Answer

The answer of A patient arrives at the emergency department...

Question 11

A 70-year-old patient has experienced a sunburn over much of the body. What self-care technique is MOST important to emphasize to an older adult in dealing with the effects of the sunburn?

Accepted Answer

It is important to emphasize the importance of increasing fluid intake to prevent dehydration, especially in older adults who are more vulnerable to dehydration. Mild lotions, analgesics, and maintaining warmth can all help relieve discomfort, but hydration is crucial. Sunscreen would have been the most important self-care technique to prevent sunburn in the first place.

Question 12

A patient has a scald burn on the arm that is bright red, moist, and has several blisters. The nurse would classify this burn as which of the following?  Select all that apply.

Accepted Answer

The burn is a superficial partial-thickness burn because it is bright red, moist, and blistered, which are characteristics of this type of burn. It is also a thermal burn because it was caused by scalding.

Question 13

A patient has sustained a partial-thickness injury of 28% of total body surface area (TBSA) and full-thickness injury of 30% or greater of TBSA. How should the nurse classify this burn injury?

Accepted Answer

According to the American Burn Association, a burn injury is classified as major if the patient has sustained partial-thickness injuries of 25% or greater TBSA, and full-thickness injuries of 10% or greater TBSA. Therefore, in this scenario where the patient has sustained partial-thickness injuries of 28% TBSA and full-thickness injuries of 30% or greater TBSA, the nurse should classify the injury as major.

Question 14

A nurse is teaching a class of older adults at a senior center about household cleaning agents that may cause burns. Which agents should be included in these instructions?  Select all that apply.

Accepted Answer

Drain cleaners, household ammonia, oven cleaner, and toilet bowl cleaner all contain chemicals that can cause burns if they come into contact with the skin. Lemon oil furniture polish is not typically known to cause burns and can be considered safe for use if used properly.

Question 15

The nurse is reviewing the results of laboratory tests to assess the renal status of a patient who experienced a major burn event on 45% of the body 24 hours ago. Which of the following results would the nurse expect to see?  Select all that apply.

Accepted Answer

The answer of The nurse is reviewing the results of...

Question 16

A 25-year-old patient is admitted with partial-thickness injuries over 20% of the total body surface area involving both lower legs. The nurse would classify this injury as being which of the following?

Accepted Answer

Partial-thickness burns covering 20% of the total body surface area (TBSA) in an adult are classified as moderate burns. Burns are categorized based on their depth, extent (percentage of TBSA affected), and specific features such as the patient's age and the involvement of critical areas. In this case, the extent of the injury and the age of the patient fit the criteria for a moderate burn.

Question 17

A patient, experiencing a burn that is pale and waxy with large flat blisters, asks the nurse about the severity of the burn and how long it will take to heal. With which of the following should the nurse respond to this patient?

Accepted Answer

Deep partial-thickness burns are characterized by a pale, waxy appearance with large blisters and typically take more than three weeks to heal.

Question 18

A patient is being evaluated after experiencing severe burns to his torso and upper extremities. The nurse notes edema at the burned areas. Which of the following best describes the underlying cause for this assessment finding?

Accepted Answer

Severe burns can damage the capillaries, causing increased permeability and leakage of fluids into the interstitial spaces, leading to edema. The inability of the damaged capillaries to maintain fluids in the cell walls causes the edema seen in the burned areas. B, C, D, and E do not accurately describe the underlying cause of the edema in this scenario.

Question 19

When monitoring the vital signs of the patient who has experienced a major burn injury, the nurse assesses a heart rate of 112 and a temperature of 99.9° F. Which of the following best describes the findings?

Accepted Answer

A heart rate of 112 and a temperature of 99.9° F can be normal findings for a patient who has experienced a major burn injury. Burn injuries can cause an increase in heart rate and body temperature due to the release of stress hormones and the body's response to the injury. It is important for the nurse to monitor vital signs frequently and establish a baseline for the patient to determine what is normal for them.

Question 20

A patient is brought to the emergency department with the following burn injuries: a blistered and reddened anterior trunk, reddened lower back, and pale, waxy anterior right arm. Calculate the extent of the burn injury (TBSA) using the rule of nines.

Accepted Answer

The answer of A patient is brought to the emergency...

Quiz 17: Nursing Care of Patients with Burns

A nurse sees a patient get struck by lightning during a thunder storm on a golf course. What should be the FIRST action by the nurse?

A patient recovering from a major burn injury is complaining of pain. Which of the following medications will be most therapeutic to the patient?

When evaluating the laboratory values of the burn-injured patient, which of the following can be anticipated?

A patient comes into the emergency department with a chemical burn from contact with lye.Assessment and treatment of this patient will be based on what knowledge regarding this type of burn? Select all that apply.

A patient is being discharged after treatment for a scald burn that caused a superficial burn over one hand and a superficial partial-thickness burn on several fingers. What should be included in this patient's discharge instructions? Select all that apply.

A patient receiving treatment for severe burns over more than half of his body has an indwelling urinary catheter. When evaluating the patient's intake and output, which of the following should be taken into consideration?

A patient is scheduled for surgery to graft a burn injury on the arm. Which of the following statements should the nurse include when instructing the patient prior to the procedure?

In order for the nurse to correctly classify a burn injury, which of the following does the nurse need to assess? Select all that apply.

A patient has experienced a burn injury. Which of the following interventions by the nurse is of the highest priority at this time?

A patient arrives at the emergency department with an electrical burn. What assessment Select all that apply.