The Point-Chp 66

When being discharged from the burn unit after having skin grafting done, what instructions should the client receive about the use of a pressure garment? Select all that apply.

-Contact the physician or physical therapist if the garment causes discomfort or does not seem to fit properly. -Follow the manufacturer's instructions for donning and removing the pressure garment. -Wear the pressure garment at least 23 hours a day. -(ALL ARE CORRECT)

A client has been burned significantly in a workplace accident. Which conditions create the need for intensive care by specifically trained personnel?

-Fluid shit -Hypotension -Fluid loss -(ALL OPTIONS ARE CORRECT)

At the scene of a fire, the first priority is to prevent further injury. What are interventions at the site that can help prevent injury? Select all that apply.

-Place the client in a horizontal position. -Roll the client in a blanket to smother the fire.

An autograft is harvested from a burn client under general anesthesia. What are the disadvantages to harvesting the client's own tissue? Select all that apply.

-There is a potential for donor site infection. -The donor site has the potential for scarring and atypical pigment changes. -There is a delay in wound closure while waiting for the donor site to heal and be reharvested. -It compounds the client's pain because it creates a new wound. -(ALL ANSWERS ARE CORRECT.)

Which instructions should a nurse provide a client with burns who has undergone skin grafting? Select all that apply.

-Wear a pressure garment for up to two years. -Restrict movement for a period of time.

How many people die of burn injuries each year in the United States?

3300

The closed method is the current preferred method of wound management for many reasons. What is not one of those reasons?

It leads to the formation of a hard crust over the burn.

When caring for a client with burns, how often a wound dressing should be changed depends on the antimicrobial in the dressing. When Aquacel Ag topical dressing is used, how often are dressings changed?

Once a week

A client was burned in a home accident. The ED physician indicated the client's wound, with proper care, should heal within 2 weeks. How was this client's wound classified?

Second degree

Determining the depth of a burn is difficult initially because there are combination of injury zones in the same location. The area of intermediate burn injury is the sone in which blood vessels are damaged, but tissue has the potential to survive. This is called the zone if:

Stasis

Which antimicrobials is not commonly used to treat burns?

Tetracycline

Within the burn unit, clients may develop complications based on the type of burn they endured. Which burns have a common complication of cardiac dysrhythmias?

Electrical

A client has a third-degree burn on the leg. The wound is being treated by the open method. After about 4 days, a hard crust ha formed around the leg and is impairing the circulation to the leg. What procedure would be done to relieve pressure on the affected area?

Escharotomy

Specific potential complications are common to specific types of burns. Which burns can impair ventilation?

Face,Neck,Chest

A client has a burn on the leg related to an engine fire. When the burn area was assessed, it was determined that the client felt no pain in the area and that it appeared charred. What depth of burn injury does the client have?

Full thickness (third degree)

A client who was severely burned begins to exhibit symptoms of renal failure during treatment. What physiologic process can cause acute renal failure?

Hemoconcentration

A client who has been burned significantly is taken by air ambulance to the burn unit. What physiologic process furthers a burn injury?

Inflammatory

Several temporary and permanent sources are available for covering a burn wound. These may be manufactured synthetically, obtained from a biologic source, or a combination of the two. Which graft is described as a biologic source of skin similar to that of the client.

Allograft

A client has received significant electrical burns in a workplace accident. What occurrence makes it difficult to assess internal burn damage in electrical burns?

Deep tissue cooling

Which is a quick technique to asses the percentage of a burn injury?

Comparing the client's palm with the size of the burn wound.

When caring for a client with burns, a nurse should change the wound dressing at least once every:

Day