eatery and met mod3
A nurse in an ER is reviewing the medical record of a client who has an extensive burn injury. Which of the following laboratory results should the nurse expect?
Hyperkalemia
A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?
Talk with the client during wound care.
A nurse is admitting a patient who has sustained severe burn injuries in a grease fire. The nurse shades in a diagram indicating the burned surface areas. Using the rule of nines, the nurse should estimate that the client has burned what percentage of body surface?
31.5
A nurse is preparing to start and IV infusion of LR for a client who sustained a burn injury. The client is prescribed 5,200 ml of fluid over the first 24 hours. How many mL/hour should the nurse set the pump to infuse for the first 8 hours?
325 ml
A nurse is in an ER 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 clients total body surface area? (TBSA)
54%
A nurse in the ER is caring fora client who has a 30% burn injury to her lower extremities. Which of the following interventions should the nurse preform first?
Administer IV fluids
A nurse in the ER is caring for a client who has extensive partial and thickness burns of the head, neck and chest. While planning the clients care, the nurse should identify the following risks as the priority for an assessment?
Airway obstruction
A nurse is caring for a client who has an electrical burn. With the client's permission, the nurse is answering questions from the family about his status. Which of the following responses should the nurse make.
He has an electrical burn. He is stable, and we will update you with any changes.
A nurse is an emergency room is caring for a client who sustained partial thickness burns to both lower legs, chest, face and both forearms. which of the following is the priority action the nurse should take?
Inspect the mouth for sings of inhalation injuries
A nurse is monitoring the fluid replacement of a client who has sustained burns. The nurse should administer which of the following fluids in the first 24 hours following a burn injury?
Lactated Ringers
a nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for a escharotomy. the clients spouse asks the nurse what the procedure entails. which of the following statements is appropriate?
Large incisions will be made in the eschar to improve circulation.
A nurse is assessing the depth and extent of injury on a client who has sever burns to the face, neck and upper extremities. Which of the following factors is the nurse's priority when assessing severity of the clients burns?
Location of the burn
A nurse in an emergency department is caring for a client who has deep-partial and full-thickness burns to his chest, abdomen and upper arms. what is the nurse's priority intervention for this client during the resuscitation of phase of injury?
Maintaining the airway
A nurse is assessing a client who is brought to the ED with burn injuries. Which of the following findings should the nurse identify as deep partial-thickness burn?
The burned area is red in color with eschar present.
A nurse is caring for a client who has burns to his face, ears and eyelids. the nurse should identify which of the following is the priority finding to report to the provider?
difficulty swallowing
A nurse is monitoring a client who was admitted with a sever burn injury and is receiving IV fluid resuscitation therapy. the nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
heart rate
A nurse is providing dietary teaching for a client who has a burn injury and adheres to a vegan diet (stupid). The nurse should recommend which of the following foods as the best source of protein to promote wound healing
one cup of lentils
a nurse is caring for a toddler who arrives at the ER with burns to his lower legs. Which of the following actions should the nurse take?
pour tepid water over the burns
a nurse is caring for a preschooler who has partial-thickness burn on her right forearm. which of the following findings should the nurse expect?
sensitive to touch, wound blanches with pressure, blisters
