Test 4 Prepu
A client is scheduled for an allograft to a burn wound, and the client asks for an explanation. What information will the nurse include in the client teaching?
"An allograft is a temporary wound covering obtained from cadaver skin."
A manufacturing plant has exploded, and the nurse is assigned to triage burn victims as they arrive to the hospital. Which is the most important question for the nurse to ask prior to the arrival of victims?
"Are the burns associated with chemicals used in the plant?"
The nurse is caring for a patient with a total hip replacement. How should the nurse allow the patient to turn?
45 degrees onto the unoperated side if the affected hip is kept abducted
A patient is admitted to a burn treatment center at 2:30 p.m. with full-thickness burns over 40% of his body. The injury occurred at 1:30 p.m. at a paper-making plant. The nurse knows that burn shock has to be prevented or treated. Based on fluid volume shifts, the nurse knows that fluid loss would peak by __________ to __________ hours, with the greatest volume being lost from __________ to__________ hours after the burn:
7:30 p.m. to 9:30 p.m.; 24 to 36 hours
Which blood pressure (BP) reading would result in a pulse pressure indicative of shock?
90/70 mm Hg
A client is lethargic with a systolic blood pressure of 74, heart rate of 162 beats/min, and rapid, shallow respirations. Crackles are audible in the lungs. The nurse assesses frequently for which of the following? Select all answers that apply.
: Ecchymoses and petechiae, : Increased paCO² levels, : Reports of chest pain, : Loss in consciousness
A nurse is performing glucose checks for a client in the progressive stage of shock. What glucose range would the nurse expect to see for the best outcome with the client?
<180 mg/dL
You are the nurse caring for a client in septic shock. You know to closely monitor your client. What finding would you observe when the client's condition is in its initial stages?
A rapid, bounding pulse
During the recovery of an extensive burn, the client is uncomfortable wearing the tight-fitting custom garment. Which is the best response by the nurse?
A snug fit is needed to minimize scarring and to smooth the skin."
The nurse is planning the care of a patient with a major thermal burn. What outcome will the nurse understand will be optimal during fluid replacement?
A urinary output of 30 mL/hr
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
The nurse is caring for a client in the early stages of sepsis. The client is not responding well to fluid resuscitation measures and has a worsening hemodynamic status. Which nursing intervention is most appropriate for the nurse to implement?
Administer norepinephrine as prescribed.
An older adult client slipped on an area rug at home and fractured the left hip. The client is unable to have surgery immediately and is having severe pain. What interventions should the nurse provide for the patient to minimize energy loss in response to pain?
Administer prescribed analgesics around-the-clock.
A confused client exhibits a blood pressure of 112/84, pulse rate of 116 beats per minute, and respirations of 30 breaths per minute. The client's skin is cold and clammy. The nurse next?
Administers oxygen by nasal cannula at 2 liters per minute
The nurse is caring for a client in shock who is deteriorating. The nurse is infusing IV fluids and giving medications as ordered. What type of medications is the nurse most likely giving to this client?
Adrenergic drugs
When is it advisable for the nurse to apply heat to a sprain or a contusion?
After 2 days
Several temporary and permanent sources are available for covering a burn wound. These may be manufactured synthetically, obtained from a biologic source, or a combination of the two. Which graft is described as a biologic source of skin similar to that of the client?
Allograph
Which type of shock occurs from an antigen-antibody response?
Anaphylactic
A client who has suffered a compound fracture is preparing for discharge to home. During the teaching session, the client asks why he needs antibiotics for a broken bone. Which response by the nurse is most appropriate?
Antibiotic therapy has been prescribed as a precaution because your bone was exposed to the environment at the time of your injury."
Which of the following is to be expected soon after a major burn? Select all that apply
Anxiety • Hypotension • Tachycardia
When teaching a client with newly diagnosed hypertension about the pathophysiology of this disease, the nurse states that arterial baroreceptors, which monitor arterial pressure, are located in the carotid sinus. Which other area should the nurse mention as a site of arterial baroreceptors?
Aorta
A client admitted with a massive myocardial infarction rapidly develops cardiogenic shock. Ideally, the physician would use the intra-aortic balloon pump (IABP) to support the injured myocardium. However, this client has a history of unstable angina pectoris, aortic insufficiency, hypertension, and diabetes mellitus. Which condition is a contraindication for IABP use?
Aortic insufficiency
When providing discharge teaching to a client with a fractured toe, the nurse should include which instruction?
Apply ice to the fracture site.
In a client with burns on the legs, which nursing intervention helps prevent contractures?
Applying knee splints
The student nurse is being precepted in the ICU. The student is caring for a client in the compensatory stage of shock who is hypovolemic. Which compensatory mechanism is most important in the re absorption and retention of fluid in the body?
Production of antidiuretic hormone and corticosteroid hormones
Which stage of shock is best described as that stage when the mechanisms that regulate blood pressure fail to sustain a systolic pressure above 90 mm Hg?
Progessive
A young client is being treated for a femoral fracture suffered in a snowboarding accident. The nurse's most recent assessment reveals that the client is uncharacteristically confused. What diagnostic test should be performed on this client?
Arterial blood gases
The nurse has completed teaching home care instructions to a client being discharged from the burn unit. Which statement from the client indicates the need for further teaching?
As my wound heals, my skin will be itchy; I can apply lotion if scratching doesn't help."
A nurse is caring for a client who is in skeletal traction. To prevent the complication of skin breakdown in a client with skeletal traction, what action should be included in the plan of care?
Assess the pin insertion site every 8 hours.
Which nursing intervention is appropriate for monitoring the client for the development of Volkmann's contracture?
Assess the radial pulse.
A nurse is caring for a client who has sustained ligament and a meniscal injury to the knee. Which action would be most appropriate to allow the client to progress without causing further injury
Assist with a gradual introduction of activity.
An emergency department client is diagnosed with a hip dislocation. The client's family is relieved that the client has not suffered a hip fracture, but the nurse explains that this is still considered to be a medical emergency. What is the rationale for the nurse's statement?
Avascular necrosis may develop at the site if it is not promptly resolved.
A client with a severe electrical burn injury is treated in the burn unit. Which laboratory result would cause the nurse the most concern?
BUN: 28 mg/dL
The orthopedic surgeon has prescribed balanced skeletal traction for a client. What advantage is conferred by balanced traction?
Balanced traction allows for greater client movement and independence than other forms of traction.
Which of the following is a clinical characteristic of neurogenic shock?
Bradycardia
Burn shock is characterized by which of the following?
Capillary leak
You are caring for a client who is in neurogenic shock. You know that this is a subcategory of what kind of shock?
Circulatory (distributive)
The nurse is caring for a client who was involved in an automobile accident and sustained multiple trauma. The client has a Volkmann's contracture to the right hand. What objective data does the nurse document related to this finding?
Claw-like deformity of the right hand without ability to extend fingers
A client who has undergone a lower limb amputation is preparing to be discharged home. What outcome is necessary prior to discharge?
Client can demonstrate safe use of assistive devices
The nurse assesses a patient who experienced a reaction to a bee sting. The patient's clinical findings indicate a pre-shock condition, which is evidenced by:
Cold, clammy skin and tachycardia.
What quick assessment technique should the nurse use to assess the percentage of burn injury?
Compare the client's palm with the size of the burn wound
The nurse obtains a blood pressure of 120/78 mm Hg from a patient in hypovolemic shock. Since the blood pressure is within normal range for this patient, what stage of shock does the nurse realize this patient is experiencing?
Compensatory stage
Which type of fracture is one in which the skin or mucous membrane wound extends to the fractured bone?
Compound
The nurse provides care for a client with a full-thickness, circumferential burn of the left lower leg. During the nurse's initial shift assessment, the client is resting and the physical assessment of the left lower extremity is unremarkable. One hour later, the nurse notes the pulses of the left lower leg cannot be obtained by a Doppler ultrasound device, and the capillary refill of the left great toe is greater than 2 seconds. What is the nurse's best response based on the clinical findings?
Contact the primary care provider and prepare for an escharotomy.
Which type of cast encloses the trunk and a lower extremity?
Hip spica
A patient has suffered a femoral shaft fracture in an industrial accident. What is an immediate nursing concern for this patient?
Hypovolemic shock
A nurse educator is teaching students the types of shock and associated causes. Which combination of shock type and causative factors is correct? Select all that apply
Hypovolemic shock; blood lossCardiogenic shock; myocardial infarctionAnaphylactic shock; nut allergySeptic shock; infection
The nurse is caring for a patient who sustained a full-thickness burn to his arm when he was scalded with boiling water. How did the nurse determine that the patient's burns are full-thickness burns?
Identification by the destruction of the dermis and epidermis
A client is seen in the orthopedic clinic for complaints of severe pain in the left hip. After a series of diagnostic tests, the client is diagnosed with severe degenerative joint disease of the left hip and suggested to have the hip reconstructed. What procedure will the nurse schedule the client for?
Left hip arthroplasty
The health care provider prescribes a vasoactive agent for a patient in cardiogenic shock. The nurse knows that the drug is prescribed to increase blood pressure by vasoconstriction. Which of the following is most likely the drug that is ordered?
Levophed
The nurse understands that during the emergent/resuscitative phase of burn injury, hemoconcentration is due to which of the following
Liquid blood component is lost into extravascular space
A client has experienced hypovolemic shock and is being treated with 2 liters of lactated Ringer's solution. It is now most important for the nurse to assess
Lung sounds.
A client who was in a motor vehicle crash is diagnosed with a stable T7 spinal fracture with no neurologic deficits. Which nursing intervention should the nurse implement?
Maintain bed rest with the head of the bed at 20 degrees.
A client with a fractured femur is in balanced suspension traction. The client needs to be repositioned toward the head of the bed. During repositioning, what should the nurse do?
Maintain consistent traction tension while repositioning.
After a traumatic back injury, a client requires skeletal traction. Which intervention takes priority?
Maintaining traction continuously to ensure its effectiveness
The nurse is caring for a client newly diagnosed with sepsis. The client has a serum lactate concentration of 6 mmol/L and fluid resuscitation has been initiated. Which value indicates that the client has received adequate fluid resuscitation?
Mean arterial pressure of 70 mm Hg
Which positioning strategy should be used for a client diagnosed with hypovolemic shock?
Modified Trendelenburg
A patient arrives in the emergency department with complaints of chest pain radiating to the jaw. What medication does the nurse anticipate administering to reduce pain and anxiety as well as reducing oxygen consumption?
Morphine
A client is having traction applied to a fractured left lower extremity prior to surgery. What outcomes does the nurse expect from the application of the traction for the client? Select all that apply.
Muscle spasms will be relieved. The bones of the left leg will be aligned. Immobilization of the left leg will be maintained.
The nurse is caring for a patient who sustained a major burn. What serious gastrointestinal disturbance should the nurse monitor for that frequently occurs with a major burn?
Paralytic ileus
A nurse is caring for a client with skin grafts covering full-thickness burns on the arms and legs. During dressing changes, the nurse should:
wrap elastic bandages distally to proximally on dependent areas
The nurse is caring for a client 48 hours after their burn injury. Which treatment will the nurse anticipate to reduce the client's risk of mortality?
Remove burned tissue
The nurse is caring for a client in the compensation stage of shock. One of the body's mechanisms of compensation in this stage of shock is the action of the renin-angiotensin-aldosterone system. What does this system do?
Restores blood pressure
While assessing a client who has had knee replacement surgery, the nurse notes that the client has developed a hematoma at the surgical site. The affected leg has a decreased pedal pulse. What would be the priority nursing diagnosis for this client?
Risk for Ineffective Peripheral Tissue Perfusion
The nurse participates in a health fair about fire safety. When clothes catch fire, which intervention helps to minimize the risk of further injury to an affected person at a scene of a fire
Roll the client in a blanket.
Which of the following musculoskeletal injuries is manifested by acromioclavicular joint pain?
Rotator cuff tears
The client exhibits a blood pressure of 110/68 mm Hg, pulse rate of 112 beats/min, temperature of 102°F with skin warm and flushed. Respirations are 30 breaths/min. The nurse assesses the client may be exhibiting the early stage of which shock?
Septic
What laboratory value observed by the nurse is unexpected during the fluid remobilization phase of a major burn?
Serum sodium level of 140 mEq/L
What assessment findings of the leg are consistent with a fracture of the femoral neck?
Shortened, adducted, and externally rotated
Which of the following are possible indicators of pulmonary damage from an inhalation injury? Select all that apply.
Singed nasal hair • Hoarseness • Facial burns
An older adult client experienced a fall and requires treatment for a fractured hip. Which factor(s) does the nurse identify may have contributed to the fall in this client? Select all that apply.
Slowed reflexes Adverse medication effects Muscle weakness Loss of visual acuity
Which term refers to an injury to ligaments and other soft tissues surrounding a joint?
Sprain
A client comes to the emergency department and it is found that the client's radial head is partially dislocated. What is this partially dislocated radial head documented as?
Subluxation
The nurse is providing wound care for a client with burns to the lower extremities. Which topical antibacterial agent carries a side effect of leukopenia that the nurse should monitor for within 48 hours after application?
Sulfadiazine, silver (Silvadene)
When a client is in the compensatory stage of shock, which symptom occurs?
Tachycardia
A client's left leg is in skeletal traction with a Thomas leg splint and Pearson attachment. Which intervention should the nurse include in this client's care plan?
Teach the client how to prevent problems caused by immobility.
The nurse observes a patient in the progressive stage of shock with blood in the nasogastric tube and when connected to suction. What does the nurse understand could be occurring with this patient?
The patient has developed a stress ulcer that is bleeding.
Which is the primary reason for placing a client in a horizontal position while smothering flames are present?
To keep fire and smoke from airway
A client is experiencing pain, joint instability, and difficulty walking due to an injury to the knee ligaments. The injury was judged not to require surgery. Which intervention would not be included in this client's care?
Traction
When planning the care of the patient in cardiogenic shock, what does the nurse understand is the primary treatment goal?
Treat the oxygenation needs of the heart muscle
A nurse is caring for a client in skin traction. In order to prevent bony fragments from moving against one another, the nurse should caution the client against performing what action?
Turning from side to side
A nurse is assessing a client admitted with deep partial-thickness and full-thickness burns on the face, arms, and chest. Which finding indicates a potential problem?
Urine output of 20 ml/hour
A client is being discharged home with a long arm cast. What education should the nurse include to prevent disuse syndrome in the arm?
Use of isometric exercises
When a patient in shock is receiving fluid replacement, what should the nurse monitor frequently? (Select all that apply.)
Vital signs/ Mental status/ Urinary output
A patient falls while skiing and sustains a supracondylar fracture. What does the nurse know is the most serious complication of a supracondylar fracture of the humerus?
Volkmann's ischemic contracture
Which colloid is expensive but rapidly expands plasma volume:
albumin
The nurse recognizes the first dressing change at the site of an autograft is performed
as soon as foul odor or purulent drainage is noted, or 2 to 5 days after surgery.
Shock occurs when tissue perfusion is inadequate to deliver oxygen and nutrients to support cellular function. When caring for patients who may develop indicators of shock, the nurse is aware that the most important measurement of shock is:
blood pressure
When the client who has experienced trauma to an extremity reports severe burning pain, vasomotor changes, and muscles spasms in the injured extremity, the nurse recognizes that the client is likely demonstrating signs of
complex regional pain syndrome.
A nurse is assessing a client who is experiencing significant stress due to septicemia. The nurse should
monitor temperature, obtain the lactate level, and administer oxygen therapy.
A client with a history of depression is brought to the ED after overdosing on Valium. This client is at risk for developing which type of distributive shock?
neurogenic shock
Vasoactive drugs, which cause the arteries and veins to dilate, thereby shunting much of the intravascular volume to the periphery and causing a reduction in preload and afterload, include agents such as
sodium nitroprusside.
A client is being discharged from the Emergency Department after being diagnosed with a sprained ankle. Which client statement indicates the client understands the discharge teaching
"I'll make sure to keep my ankle elevated as much as possible."
A client with a burn over the lower leg asks why surgery is planned to remove the dead burned tissue. Which response will the nurse make
"It reduces the risk of complications from an infection."
Which instruction should the nurse include when teaching the client following hip replacement surgery? (Select all that apply.)
"Place pillows between your legs when you lay on your side." "Avoid bending forward when sitting in a chair.""Use a raised toilet seat and high-seated chair."
A client is cared for in a burn unit after suffering partial-thickness burns. The client's laboratory work reveals a positive wound culture for gram-negative bacteria. The health care provider orders silver sulfadiazine to be applied to the client's burns. The nurse provides information to the client about the medication. Which statement made by the client indicates an understanding about this treatment? Select all that apply
"This medication is an antibacterial." "This medication will be applied directly to the wound." "This medication will help my burn heal.
The client scheduled for a Syme amputation is concerned about the ability to eventually stand on the amputated extremity. How should the nurse best respond to the client's concern?
"You will eventually be able to withstand full weight-bearing after the amputation."
When using the Palmer method to estimate the extent of the burn injury, the nurse determines the palm is equal to which percentage of total body surface area?
1%
A patient is being discharged after sustaining a deep-partial thickness burn during a house fire. The patient is asking when the burn will be healed. The nurse understands that this type of burn injury heals within which of the following time frames?
2-4 weeks
A client has undergone grafting following a burn injury. The nurse understands that the first dressing change at the site of an autograft is performed how soon after the surgery?
2-5 days
The nurse is reporting the current nursing assessment to the physician. Vital signs: temperature, 97.2° F; pulse, 68 beats/minute, thready; respiration, 28 breaths/minute, blood pressure, 102/78 mm Hg; and pedal pulses, palpable. The physician asks for the pulse pressure. Which would the nurse report?
24
A 14-year-old client is treated in the emergency room for an acute knee sprain sustained during a soccer game. The nurse reviews discharge instructions with the client's parent. The nurse instructs the parent that the acute inflammatory stage will last how long:
24-48 hours
A client received burns to his entire back and left arm. Using the Rule of Nines, the nurse can calculate that he has sustained burns on what percentage of his body?
27%
A client experiences an acute myocardial infarction. Current blood pressure is 90/58, pulse is 118 beats/minute, and respirations are 30 breaths/minute. The nurse intervenes first by administering the following prescribed treatment:
2L NS
A client is brought to the emergency department with partial-thickness and full-thickness burns on the left arm, left anterior leg, and anterior trunk. Using the Rule of Nines, what is the total body surface area that has been burned?
36%
A client was climbing a ladder, slipped on a rung, and fell on the right side of the chest. X-ray studies reveal three rib fractures, and the client reports pain with inspiration. What is the anticipated treatment for this client?
Coughing and deep breathing with pillow splinting
A client with a fractured distal left radius reports discomfort at the cast site, with pain specifically in the upper forearm. What would the nurse expect the physician to do?
Cut a cast window.
A client has a cast applied to the leg for treatment of a tibia fracture and also has a wound on the leg that requires dressing changes due to drainage. For what should the nurse prepare the client
Cutting cast window
The nurse is monitoring the patient in shock. The patient begins bleeding from previous venipuncture sites, in the indwelling catheter, and rectum, and the nurse observes multiple areas of ecchymosis. What does the nurse suspect has developed in this patient?
DIC
At what point in shock does metabolic acidosis occur?
Decompensation (Progressive)
A client who has fallen and injured a hip cannot place weight on the leg and is in significant pain. After radiographs indicate intact but malpositioned bones, what would the physician diagnose?
Dislocation
The client who had a total hip replacement was discharged home and developed acute groin pain in the affected leg, shortening of the leg, and limited movement of the fractured leg. The nurse interprets these findings as indicating which complication?
Dislocation of hip
Colles fracture occurs in which area?
Distal radius
A client with a tibia fracture was placed in an external fixator 24 hours ago. The nurse is completing pin care and notices redness at the pin site and a small amount of serous drainage. What action by the nurse is appropriate?
Document findings
A nurse practitioner administers first aid to a patient with a deep partial-thickness burn on his left foot. The nurse describes the skin involvement as the
Epidermis and a portion of deeper dermis.
The nurse assesses subtle personality changes, restlessness, irritability, and confusion in a client who has sustained a fracture. The nurse suspects which complication?
Fat embolism
A client is brought to the ED with burns exceeding 20% of total body surface area. Which is the primary nursing intervention in the care of this client?
Fluid resuscitation
A patient has a burn injury that has destroyed all of the dermis and extends into the subcutaneous tissue, involving the muscle. This type of burn injury would be documented as which of the following?
Full thickness
A client with a burn injury is in acute stress. Which of the following complications is prone to develop in this client?
Gastric ulcers
A client is brought in by ambulance to the emergency department after being involved in a motorcycle accident. The client has an open fracture on his tibia. The wound is highly contaminated and there is extensive soft- tissue damage. How would this client's fracture likely be graded?
Grade 3
A client who experienced shock remains unstable. Which medication classes would the nurse anticipate to be ordered to prevent or minimize stress ulcers? Select all that apply.
H2 blockers proton pump inhibitors
A client is being cared for in the Neurological Intensive Care Unit following a spinal cord injury. Which assessment finding indicates that the client may be experiencing neurogenic shock?
HR, 48 bpm; BP, 90/60 mm Hg
A person suffers leg burns from spilled charcoal lighter fluid. A family member extinguishes the flames. While waiting for an ambulance, what should the burned person do?
Have someone assist him into a bath of cool water, where he can soak intermittently while waiting for emergency personnel.
A patient in pelvic traction needs circulatory status assessed. How should the nurse assess for a positive Homans' sign?
Have the patient extend each leg and dorsiflex each foot to determine if pain or tenderness is present in the lower leg.
Elevating the patient's legs slightly to improve cerebral circulation is contraindicated in which of the following disease processes?
Head injury
While riding a bicycle on a narrow road, the patient was hit from behind and thrown into a ditch, sustaining a pelvic fracture. What complications does the nurse know to monitor for that are common to pelvic fractures?
Hemorrhage and shock
The nurse is caring for a critically ill client. Which of the following is the nurse correct to identify as a positive effect of catecholamine release during the compensation stage of shock?
Increase in arterial oxygenation
The nurse is administering a medication to the client with a positive inotropic effect. Which action of the medication does the nurse anticipate?
Increase the force of myocardial contraction
Which nursing diagnosis takes highest priority for a client with a compound fracture?
Infection related to effects of trauma
A client who has been burned significantly is taken by air ambulance to the burn unit. What physiologic process furthers a burn injury?
Inflammatory
Which zone of burn injury sustains the most damage?
Inner
A client presents with blistering wounds caused by an unknown chemical agent. How should the nurse intervene?
Irrigate the wounds with water.
A large volume of intravenous fluids is being administered to an elderly client who experienced hypovolemic shock following diarrhea. The nurse is evaluating the client's response to treatment and notes the following as a sign of an adverse reaction:
Jugular venous distention
The central venous pressure (CVP) reading in hypovolemic shock is typically which of the following?
LOW
When the patient has lost the ability to compensate for the insult, vital organs begin to show signs of dysfunction. Which of the following is one of the first signs of organ failure?
Myocardial depression
The nurse determines that a patient in shock is experiencing a decrease in stroke volume when what clinical manifestation is observed?
Narrowed pulse pressure
A client with superficial burns on the face and deep partial-thickness burns on the neck and chest is undergoing treatment and is anxious to know about skin grafting. For which of the following areas can skin grafting be suggested?
Neck and chest
Which vasodilator medication is used in the treatment of shock?
Nitroglycerin
The nurse assesses a client after total right hip arthroplasty and observes a shortening of the extremity. The client reports severe pain in the right side of the groin. What is the priority action of the nurse?
Notify MD
A client broke his arm in a sports accident and required the application of a cast. Shortly following application, the client reported an inability to straighten his fingers and was subsequently diagnosed with Volkmann contracture. What pathophysiologic process caused this complication?
Obstructed arterial blood flow to the forearm and hand
A client's fracture was reduced by surgically exposing the bone and realigning it. What type of treatment does the nurse identity this as?
Open reduction
A nurse is evaluating a mechanically ventilated client in the intensive care unit to identify improvement in the client's condition. Which outcome does the nurse note as the result of inadequate compensatory mechanisms?
Organ damage
A nurse is caring for a client who is recovering in the hospital following orthopedic surgery. The nurse is performing frequent assessments for signs and symptoms of infection in the knowledge that the client faces a high risk of what infectious complication?
Osteomyelitis
A client is diagnosed with a first-degree strain of the left ankle related to running 5 miles daily. How would the nurse differentiate the first-degree strain from other strains and sprains?
The client has some edema of the left ankle with muscle spasms but is able to walk without assistive devices.
A nurse is providing care to all of the following clients. Which client would be most at risk for septic shock?
The client with testicular cancer who is receiving intravenous chemotherapy
The nurse is obtaining physician orders which include a pulse pressure. The nurse is correct to report which of the following?
The difference between the systolic and diastolic pressure
The most important intervention in the nutritional support of a client with a burn injury is to provide adequate nutrition and calories. The nurse recognizes this intervention is to promote
decreased catabolism.
A client has been treated for shock and is now at risk for which secondary but life-threatening complications? Select all that apply:
disseminated intravascular coagulation, acute respiratory distress syndrome, kidney failure
Meniscectomy refers to the
excision of damaged joint fibrocartilage.
A client has a burn on the leg related to an engine fire. When the burn area was assessed, it was determined that the client felt no pain in the area and that it appeared leathery. How would the nurse document the depth of burn injury this client has?
full thickness (third degree)
The type of fracture described as having one side of the bone broken and the other side bent would be:
greenstick.
A patient will be receiving biologic dressings. The nurse understands that biologic dressings, which use skin from living or recently deceased humans, are known by what name
homographs
Immediately after a burn injury, electrolytes need to be evaluated for a major indicator of massive cell destruction, which is:
hyperkalemia
A classic indicator of edema and alveolar hemorrhage associated with Fat Embolism Syndrome is:
hyperventilation