SOLVED

Chapter 35 Question 1 Victims of a house fire are being admitted through the emergency department. Of the patients, the nurse realizes that which will have the greatest general risk for mortality from the burn injuries? 1. 25-year-old pregnant female 2. 49-year-old male who smokes 3. 75-year-old female with arthritis 4. 50-year-old male with coronary artery disease Question 2 The nurse is caring for a patient admitted with thermal burns. The nurse will plan to monitor the patient closely over the next 2 to 3 days for development of which most serious complication? 1. Pain 2. Burn shock 3. Continuation of the burn process below the level of obvious injury 4. Hypervolemia Question 3 A civilian patient admitted with frostbite burns to his feet is receiving pain medication, fluid replacement, and is being monitored for any signs of organ dysfunction. What rationale would the nurse provide for this conservative management? 1. Frostbite injuries are not as serious as thermal or chemical burns. 2. The extent of the injury is not obvious. 3. Little is known about other methods to treat frostbite. 4. Aggressive frostbite management is only done in specialty military hospitals. Question 4 A patient is being admitted for treatment of deep partial-thickness burns. When doing this patient’s initial assessment, the nurse would expect which burn characteristics? 1. Sluggish capillary refill 2. Leathery, white tissue 3. Significant edema 4. Blisters 5. Erythema Question 5 A patient comes into the emergency department with severe burns over the face, arms, legs, and back after spending the day boating with friends. The skin is dry and very red with brisk capillary refill. How would the nurse classify this patient’s burn injuries? 1. Superficial 2. Deep partial thickness 3. Superficial partial thickness 4. Full thickness Question 6 A patient has full-thickness burns of the right chest area, entire right arm, and deep partial-thickness burns of both upper anterior legs. Based on the rule of nines, which estimate of total body surface area burn would the nurse record? 1. 36% 2. 27% 3. 45% 4. 18% Question 7 A patient is admitted with partial-thickness burns over the entire left arm and neck. Superficial burns are present on the face and scalp. The anterior truck has patches of superficial burns. There are deep partial-thickness burns on the legs with full-thickness burns on both feet. The nurse using the Lund and Browder chart to estimate the total body surface area burned will include the burns on which body areas? 1. Left arm 2. Face 3. Legs 4. Feet 5. Trunk Question 8 The nurse is providing emergency care to patients injured in a house fire. Which patient would the nurse prepare for transfer to a burn center for additional care and treatment? 1. 15-year-old child with 5% total body surface area burns to the left arm 2. 10-year-old child with partial-thickness burns to the left hand 3. 30-year-old female with superficial burns to the arms, face, and neck 4. 35-year-old male with partial-thickness burn to a part of his back. Question 9 The nurse is caring for a 154-pound patient with 50 percent total body surface area burns. If using the Parkland formula, the nurse will calculate which amount of intravenous solution to provide this patient in the first 24 hours of care? 1. 14,000 mL 2. 42,000 mL 3. 3,500 mL 4. 7,000 mL Question 10 A patient, recovering from being struck by lightning 36 hours prior to admission, is demonstrating an acute onset of confusion and muscle weakness. Which rationale would the nurse provide for this assessment? 1. The patient has is suffering a stroke unrelated to the injury. 2. The patient likely has an electrolyte imbalance. 3. The patient has developed a seizure disorder from the injury. 4. The patient is having delayed onset of neurological symptoms, which are common after a lightning injury.