Exam 2 Burn practice questions

A nurse is caring for a client with burns to face, ears, and eyelids. Which of the following is the priority finding to report to the provider? A. Urinary output 25mL/hr B. Difficulty swallowing C. HR 122 beats/min D. Lip edema

B. Difficulty swallowing All should be reported but swallowing is most important

A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. Using the rule of nines the nurse should document burns to which percentage of the client's total body surface area? A. 9% B. 18% C. 36% D. 54%

D. 54%

A nurse is assessing the depth and extent of a client who has sever burns to the face, neck, and upper extremities. Which of the following factors is the first priority when assessing the severity of the burn? A. Age of the client B. Associated medical history C. Location of the burn D. Cause of the burn

C. Location of the burn

A nurse is caring for a client who full-thickness burns all over 75% of his body. Which of the following methods is appropriate to accurately monitor the cardiovascular system? A. Auscultate cuff blood pressure B. Palpate pulse pressure C. Obtain a central venous pressure D. Monitor the pulmonary artery pressure

D. Monitor the pulmonary artery pressure

A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following should the nurse include to provide emotional support? A. Assign assistive personnel to keep his room neat and clean B. Rotate nursing staff so he can have varied interactions C. Talk with him during wound care D. Keep family members aware of his condition

C. Talk with him during wound care

A nurse is monitoring the fluid replacement of a client who has sustained burns. Which of the following fluids is used in the 1st 24hr following a burn injury?

Lactated Ringer's

A group of college students was attending a weekend football rally when one of the students stumbled and fell into the bonfire? Although several friends quickly intervened, the client sustained partial-thickness burns to both lower legs, chest, and both forearms. Which of the following is the priority nursing action when the client is brought into the emergency room? A. Cover burned area with sterile gauze B. Inspect mouth for signs of inhalation injuries C. Administer intravenous pain medication D. Draw blood for a complete blood cell (CBC) count

B. Inspect mouth for signs of inhalation injuries

A client arrives at the emergency department following an explosion at a chemical plant. He has deep partial & full-thickness chemical burns over more than 25% of his body surface area. What is the nurse's priority intervention for this client? A. Initiate fluid resuscitation B. Medicate for pain C. Administer antibiotics D. Maintain a patent airway

D. Maintain a patent airway