Brunner Burn quiz Coursepoint Plus

The nurse is preparing the client for mechanical débridement and informs the client that this will involve which of the following procedures?

Removal of eschar until the point of pain and bleeding occurs

The nurse recognize what as an early sign of sepsis in a client with a burn injury?

Elevated serum glucose

A client has experienced an electrical burn and has developed thick eschar over the burn site. Which of the following topical antibacterial agents will the nurse expect the health care provider to order for the wound?

Mafenide acetate 10% (Sulfamylon) hydrophilic-based cream

A client is brought to the emergency department by a coworker following a burn injury from a high-voltage electrical power line. The triage nurse determines which intervention should be completed first?

Apply a cervical collar on the client

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

Coagulation

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

Fluid loss Fluid shift Hypotension

The nurse recognizes the first dressing change at the site of an autograft is performed

as soon as foul odor or purulent drainage is noted, or 2 to 5 days after surgery

A nurse is providing discharge teaching for a client with a burn wound on the leg. What instructions are important to give the client? Select all that apply.

Report increased redness and wound drainage to the healthcare provider. Wash the wound with soap and water. Continue physical therapy exercises

The nurse cares for a client with superficial partial-thickness burn injuries to the lower extremities. The client is ordered IV morphine for pain. The nurse understands narcotics are given via IV during the initial management of pain because

tissue edema may interfere with drug absorption via other routes.

A client presents to the emergency department following a burn injury. The client has burns to the abdomen and front of the left leg. Using the rule of nines, the nurse documents the total body surface area percentage as

18%

During the late stages of healing, which intervention helps a burn wound to heal with minimal scarring?

Applying continuous-compression wraps

A client is brought to the emergency department with a burn injury. The nurse knows that the first systemic event after a major burn injury is what?

Hemodynamic instability

When a client is receiving 100% oxygen, what is the key sign of onset of acute respiratory distress syndrome?

Hypoxemia

Which type of debridement involves the use of surgical scissors, scalpels, and forceps to separate and remove the eschar?

Mechanical

Which of the following would indicate the need to increase fluids beyond what is recommended for fluid resuscitation?

Myoglobin in the urine

A patient has been prescribed mafenide acetate cream for burn treatment. The nurse should educate the patient regarding which of the following?

Severe burning pain for up to 20 minutes

Which of the following topical burn preparations act as wick for sodium and potassium?

Silver nitrate solution

A nurse is caring for a client in the emergent/resuscitative phase of burn injury. During this phase, the nurse should monitor for evidence of what alteration in laboratory values?

Sodium deficit

When the nurse learns that the client suffered injury from a flash flame, the nurse anticipates which depth of burn?

Deep partial thickness

Acticoat antimicrobial barrier dressings used in the treatment of burn wounds can be left in place for which time frame?

5 days