Electrical Injury and Burn Care
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Questions and Answers

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?

    <p>Brassy cough</p> Signup and view all the answers

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

    <p>Urine output = 50 mL/hr</p> 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?

    <p>Elevation and immobilization of the affected leg</p> 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?

    <p>Loosen the dressing.</p> Signup and view all the answers

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

    <p>Xenograft</p> Signup and view all the answers

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

    <p>Infants and young children are more vulnerable to scald injuries</p> 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?

    <p>Urine output</p> Signup and view all the answers

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

    <p>Intravenous</p> Signup and view all the answers

    What is not a cause of tissue damage in burns?

    <p>Friction</p> 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?

    <p>Confusion</p> Signup and view all the answers

    Which burn severity involves the full thickness of the skin?

    <p>Third degree</p> Signup and view all the answers

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

    <p>Debride the eschar</p> Signup and view all the answers

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

    <p>They may damage respiratory passages</p> Signup and view all the answers

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