burns adaptive quizing

Which drug used to promote fertility may cause esophageal burns?

Clomiphene Clomiphene is a serum selective receptor modulator that may cause esophageal burns. Estrogen may cause a thromboembolism. Nifedipine may cause maternal fetal problems. Indomethacin may cause birth defects.

A nurse reviews the assessment findings of four different clients with burns. Which client most likely has chemical burns?

paralysis paralysis is most likely due to chemical burns caused by chemical fumes. Client A has electrical burns; this condition is associated with cardiac arrest. Client B has third-degree burns; this condition is associated with minimal to absent pain. Client D has an inhalation injury; this condition is associated with hoarseness.

The nurse is assessing a client with burns over 15% of the body. Which priority nursing action should be taken to ensure a complete assessment?

removing the clothes of the client The nurse should remove all clothing of the client with scissors to allow for thorough assessment; this also prevents fabrics from melting into the client's skin. Determining the level of mobility indicates medium priority because it does not directly affect the client. The client may not be placed in recumbent position unless it is essential to assess the burns by the nurse. The nurse should ensure that the wounds are protected after the assessment and should apply antiseptic solution to prevent the chance of infections.

The nurse is teaching a burns safety class. Which examples should the nurse use to describe the usual occupational hazards for burn injuries? Select all that apply.

road tar powerlines fertilzers cooking grills Tar applied for road maintenance, electrical power lines, restaurant cooking grills, and agricultural fertilizers are common occupational hazards for burn injuries. Microwave ovens are considered a general household source of burn injuries that can occur when accessing food too soon after cooking it.

A client is severely injured with burns and sustained major trauma from a fire incident. What is the order of assessments according to priority in this situation?

1. Using a jaw-thrust maneuver to establish an airway Correct 2.Providing bag-valve-mask (BVM) ventilation Correct 3.Palpating for the presence of a radial pulse Correct 4.Monitoring systolic blood pressure Correct 5.Assessing the score of eye opening Correct 6.Removing the clothing with scissors A client with trauma should be assessed for airway, breathing, circulation, disability, and exposure. A jaw-thrust maneuver helps to establish an airway and breathing, and bag-valve-mask (BVM) ventilation with 100 percent oxygen source ensures ventilatory assistance. Following respiratory assessment is the circulation assessment. The pulse of the client is palpated at the radial, femoral, and carotid areas, and the systolic blood pressure is monitored. Disability is assessed using the Glasgow Coma Scale to find out the eye opening, voice, and pain status. The clothes of the client are removed with scissors to prevent fabric melting into the skin.

What would be the priority nursing intervention in a client with electric burns?

Checking the airway, breathing and circulation Electrical burns may be large (greater than 10% TBSA) and therefore the priority is to focus on airway, breathing, and circulation. After ensuring proper airway, breathing, and circulation the nurse then cools the burns for no more than 10 minutes to prevent hypothermia. After cooling, the burned clothing must be removed to prevent further tissue damage. Lastly, wrap the client in a dry, clean sheet to prevent further contamination of the wound and to provide warmth.

A client with severe burns and injuries from a bomb blast is admitted in the emergency unit. Which triaging priority is preferable for the client?

Class I A client with severe burns and injuries due to a bomb blast requires emergent treatment to prevent life-threatening complications. Therefore the client should be considered for class I triage. Clients belonging to class II have major injuries that require normal treatment. Clients belonging to class III have minor injuries that do not require immediate treatment. Clients belonging to class IV are not allotted treatment because they are expected to die.

A registered nurse teaches a new orienting nurse about interventions to be followed for a client with burns due to inhalation injury. Which statement made by the new orienting nurse indicates the new nurse needs more orientation?

I should check pulses distal to burns Inhalation injury burns occur in the nose, mouth, throat, and airway. The peripheral and central pulses are assessed, but they are not considered distal to the burn. The nurse should administer intravenous analgesia. The nurse should anticipate both endotracheal intubation and a need for fiberoptic bronchoscopy.The nurse is teaching a burns safety class. Which examples should the nurse use to describe the usual occupational hazards for burn injuries? Select all that apply.

The primary healthcare provider instructs the nurse to place a client with burns in the supine position with the affected arm over the head to reduce the risk of contractures. Which part of the client is affected due to burns?

Lateral trunk A client whose lateral trunk is affected due to burns should be placed in supine position with the affected arm over the head to reduce the risk of contractures. A client whose wrist is affected should use a splint. The nurse should maintain the upper arm at 90 degrees of abduction from the lateral aspect of the trunk of a client whose anterior shoulder is affected. The nurse should keep the arm slightly behind the midline of a client whose posterior shoulder is affected. Test-Taking Tip: Read carefully and answer the question asked; pay attention to specific details in the question.

A client is admitted to the hospital due to electrical burns. Which assessment findings does the nurse anticipate? Select all that apply.

burn ordor, leathery skin cardiac arrest A client with electrical burns may have assessment findings such as burn odor, leathery skin, and cardiac arrest due to hypovolemia and electrical disturbances. Coughing and smoky breath are assessment findings associated with inhalational injuries.