PrepU: Burns

Which of the following is a common complication of an electrical burn injury?

Cardiac dysrhythmias

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

Coagulation

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

Elevated serum glucose

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

The nurse is monitoring for fluid and electrolyte changes in the emergent phase of burn injury for a patient. Which of the following will be an expected outcome? Select all that apply.

Base-bicarbonate deficit Elevated hematocrit level Sodium deficit

What are the expected findings in the fluid remobilization phase acute phase, diuresis, that the nurse should monitor for? Select all that apply.

Hemodilution Increased urinary output Sodium deficit

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?

The early appearance of the burn injury may change.

The nurse is applying an occlusive dressing to a burned foot. What position should the foot be placed in after application of the dressing?

Adduction

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

Deep partial thickness

Skin grafts are necessary for which of the following burns?

Full-thickness/3rd degree

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

Hypoxemia

A client has partial-thickness burns on both lower extremities and portions of the trunk. Which IV fluid does the nurse plan to administer first?

Lactated Ringer's solution

A young child is being evaluated for an area of burn involvement. The nurse knows the most accurate method of assessing the total body surface area is through the use of which assessment tool?

Lund and Browder method

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

hemoconcentration Increased RBC products