Integumentary
Which example is associated with third spacing in a burn injury? 1 Blister formation 2 Edema formation 3 Fluid mobilization 4 Fluid accumulation
1 Blister formation Blister formation is an example of third spacing in burn injuries. Edema formation and fluid mobilization generally happen in every burn injury. Fluid accumulation is formed in second spacing in a burn injury.
Which component of skin maintains optimal barrier function? 1 Keratin 2 Melanin 3 Collagen 4 Adipose tissue
1 Keratin
Which condition presents as chalk white patches on the skin? 1 Vitiligo 2 Jaundice 3 Cyanosis 4 Erythema
1 Vitiligo
Which clinical manifestation is associated with hypernatremia in burns? 1 Fatigue 2 Seizures 3 Paresthesias 4 Cardiac dysrhythmias
2 Seizures
A burn client is receiving the open method for wound treatment. Which information will the nurse explain to the client? 1 "Bathing will not be permitted." 2 "Dressings will be changed daily." 3 "Personal protective equipment will be worn by staff." 4 "Room temperature will be kept below 72°F [22.2°C]."
3 "Personal protective equipment will be worn by staff."
Which factors put a client at risk for bacterial infections? Select all that apply. One, some, or all responses may be correct. 1 Dry skin 2 Underweight 3 Atopic dermatitis 4 Diabetes mellitus 5 Systemic antibiotics
3 Atopic dermatitis 4 Diabetes mellitus 5 Systemic antibiotics
Which relationship between a client's burned body surface area and fluid loss would the nurse consider when evaluating fluid loss in a client with burns? 1 Equal 2 Unrelated 3 Inversely related 4 Directly proportional
4 Directly proportional
Which type of biopsy is required for removal of entire lesions on the skin? 1 Punch biopsy 2 Shave biopsy 3 Incisional biopsy 4 Excisional biopsy
4 Excisional biopsy
A client who has been in a coma for 2 months is being maintained on bed rest. At which angle will the nurse place the head of the bed to prevent the effects of shearing force? 1 30 degrees 2 45 degrees 3 60 degrees 4 90 degrees
1 30 degrees
Which intervention would the nurse include in the plan of care for a client admitted with herpes zoster? Select all that apply. One, some, or all responses may be correct. 1 Acyclovir 2 Silvadene 3 Gabapentin 4 Wet compresses 5 Contact isolation
1 Acyclovir 2 Silvadene 3 Gabapentin 4 Wet compresses 5 Contact isolation
Which type of laser is used in the treatment of vascular and other pigmented lesions? 1 Argon 2 Gold vapors 3 Neodymium 4 Carbon dioxide
1 Argon