Electrical Injury and Burn Care

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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?

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?

45%

36% (correct)

54%

27%

Which assessment finding assists the nurse in confirming inhalation injury?

Brassy cough Signup and view all the answers

Which finding indicates that fluid resuscitation has been successful for a client with a burn injury?

Urine output = 50 mL/hr Signup and view all the answers

Which of the following activities will be prescribed for a client post-op who had an autograft and skin grafting on the left knee?

Elevation and immobilization of the affected leg Signup and view all the answers

What is the nurse's initial action if a client with a dressing covering the neck is experiencing respiratory difficulty?

Loosen the dressing. Signup and view all the answers

Which of the following refers to a wound covering brought from an animal source?

Xenograft Signup and view all the answers

Which of the following is true regarding the vulnerability of infants and young children to scald injuries?

Infants and young children are more vulnerable to scald injuries Signup and view all the answers

Which parameter is the most reliable for determining the adequacy of fluid resuscitation in a client with a full-thickness burn injury?

Urine output Signup and view all the answers

Which route should the nurse expect pain medication to be given to a client with extensive burns?

Intravenous Signup and view all the answers

What is not a cause of tissue damage in burns?

Friction Signup and view all the answers

Based on a carbon monoxide level of 35%, what sign should the nurse expect in a client with a smoke inhalation injury?

Confusion Signup and view all the answers

Which burn severity involves the full thickness of the skin?

Third degree Signup and view all the answers

What must be done to prepare a third-degree burned area for skin grafting?

Debride the eschar Signup and view all the answers

Why might burns to the anterior face and head be more serious than burns to the trunk?

They may damage respiratory passages Signup and view all the answers

Electrical Injury and Burn Care

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