SOLVED

 Question 11 1. Administer two tablets of Percocet at 11:00 a.m. every day right after hydrotherapy. 2. Administer two tablets of Percocet at 10:00 a.m. every day prior to hydrotherapy. 3. Administer two tablets of Percocet at 9:00 a.m. every day prior to hydrotherapy. 4. Administer two tablets of Percocet at 9:45 a.m. every day prior to hydrotherapy. Question 12 A patient, being treated for burns over 40% of the total body surface area, is experiencing a hypermetabolic state. The nurse anticipates the addition of which type of medication to help reduce muscle wasting and accelerate healing time? 1. Antibiotics 2. Cardiac glycosides 3. Insulin 4. Calcium channel blockers Question 13 The nurse assesses a burn patient’s urine to be reddish-brown in color. Which interventions would the nurse anticipate? 1. Interventions to raise the urine pH to an alkaline level 2. Discontinuing orders for sodium bicarbonate 3. Irrigating the patient’s bladder with a sodium bicarbonate solution 4. Management of intravenous fluids to achieve a urine output of 75 mL per hour 5. Monitor for hypocalcemia. Question 14 The nurse caring for a patient who sustained burns of 30% of the total body surface area seven days ago is assessing the status of the patient’s wounds. Which phase of wound healing would the nurse expect to be occurring? 1. Contraction 2. Inflammatory 3. Maturation 4. Proliferative Question 15 A patient has been treated in the burn unit for 3 months. What characteristics of wound healing would the nurse evaluate as normal? 1. Organization of collagen layers 2. Reepithelialization 3. Revascularization 4. Strengthening of the scar 5. Keloid production Question 16 The nurse caring for a patient admitted for burns over his torso and upper arms has clothing adhered to the skin. Which nursing action is indicated? 1. Leave the clothing in place and flush the areas with cooled water 2. Flush the clothing with hydrogen peroxide to clean the skin underneath 3. Cover the areas with gauze 4. Apply a topical antiseptic over the clothing areas Question 17 The nurse is planning the care of a patient who has burns to the face, neck, upper chest, and both upper arms. To prevent contracture development, the nurse should include which interventions in the patient’s plan of care? 1. Use a bed cradle over the burned areas. 2. Have patient assume the position of comfort while sleeping. 3. Administer analgesics prior to physical therapy. 4. Instruct the patient to avoid using pillows under the head. 5. Get the patient out of bed as soon as medically feasible. Question 18 The nurse is preparing to ambulate a patient who sustained burns over 20% of his lower extremities. Which intervention is most important to facilitate the success of the patient’s ambulation? 1. Transfer the patient to a chair before ambulating. 2. Apply compression wraps to the lower extremities before getting out of bed. 3. Be certain the patient is well-hydrated before ambulation. 4. Have the patient perform incentive spirometry. Question 19 A patient is rehabilitating after a severe burn 6 months ago that left her with scars across her chest and abdomen. She says, “I don’t care what people think, I am going to the beach in a bikini next week.” What most important information should the nurse provide? 1. “This may be difficult since you are still supposed to be wearing your compression garment.” 2. “You need to avoid sun exposure to your scars for at least one year.” 3. “You should prepare yourself for how others will react to your scars.” 4. “Remember that you are prone to getting too hot easily.” Question 20 A female patient recovering from a burn to the left side of her face tells the nurse that she has no idea how she is going to return home and resume her regular life since she is so “ugly and disfigured.” What nursing response is indicated? 1. “It is good that your work does not include having to meet the public everyday.” 2. “I don’t think your scars are so bad.” 3. “I think you should see a plastic surgeon before you try to go back to work.” 4. “Would you like a referral to the Phoenix Society?”