Podcast
Questions and Answers
What is the priority assessment data to obtain from a client with an electrical injury of the lower extremities?
What is the priority assessment data to obtain from a client with an electrical injury of the lower extremities?
- Orientation to time, place, and person
- Heart rate and rhythm (correct)
- Current range of motion in all extremities
- Respiratory rate and pulse oximetry reading
What is the nurse's best interpretation if bowel sounds are absent in all four abdominal quadrants 12 hours after the client was initially burned?
What is the nurse's best interpretation if bowel sounds are absent in all four abdominal quadrants 12 hours after the client was initially burned?
- Paralytic ileus (correct)
- Peptic ulcer
- Hypovolemic shock
- Gastric distension
Using the Rule of Nines, what is the total body surface area (TBSA) that has been burned for a client with third-degree burns on the posterior trunk, right arm, and left posterior leg?
Using the Rule of Nines, what is the total body surface area (TBSA) that has been burned for a client with third-degree burns on the posterior trunk, right arm, and left posterior leg?
- 45%
- 36% (correct)
- 54%
- 27%
Which assessment finding assists the nurse in confirming inhalation injury?
Which assessment finding assists the nurse in confirming inhalation injury?
Which finding indicates that fluid resuscitation has been successful for a client with a burn injury?
Which finding indicates that fluid resuscitation has been successful for a client with a burn injury?
Which of the following activities will be prescribed for a client post-op who had an autograft and skin grafting on the left knee?
Which of the following activities will be prescribed for a client post-op who had an autograft and skin grafting on the left knee?
What is the nurse's initial action if a client with a dressing covering the neck is experiencing respiratory difficulty?
What is the nurse's initial action if a client with a dressing covering the neck is experiencing respiratory difficulty?
Which of the following refers to a wound covering brought from an animal source?
Which of the following refers to a wound covering brought from an animal source?
Which of the following is true regarding the vulnerability of infants and young children to scald injuries?
Which of the following is true regarding the vulnerability of infants and young children to scald injuries?
Which parameter is the most reliable for determining the adequacy of fluid resuscitation in a client with a full-thickness burn injury?
Which parameter is the most reliable for determining the adequacy of fluid resuscitation in a client with a full-thickness burn injury?
Which route should the nurse expect pain medication to be given to a client with extensive burns?
Which route should the nurse expect pain medication to be given to a client with extensive burns?
What is not a cause of tissue damage in burns?
What is not a cause of tissue damage in burns?
Based on a carbon monoxide level of 35%, what sign should the nurse expect in a client with a smoke inhalation injury?
Based on a carbon monoxide level of 35%, what sign should the nurse expect in a client with a smoke inhalation injury?
Which burn severity involves the full thickness of the skin?
Which burn severity involves the full thickness of the skin?
What must be done to prepare a third-degree burned area for skin grafting?
What must be done to prepare a third-degree burned area for skin grafting?
Why might burns to the anterior face and head be more serious than burns to the trunk?
Why might burns to the anterior face and head be more serious than burns to the trunk?
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