Electrical Injury and Burn Care

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16 Questions

What is the priority assessment data to obtain from a client with an electrical injury of the lower extremities?

Heart rate and rhythm

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

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?

36%

Which assessment finding assists the nurse in confirming inhalation injury?

Brassy cough

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

Urine output = 50 mL/hr

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

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

Loosen the dressing.

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

Xenograft

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

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

Urine output

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

Intravenous

What is not a cause of tissue damage in burns?

Friction

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

Confusion

Which burn severity involves the full thickness of the skin?

Third degree

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

Debride the eschar

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

They may damage respiratory passages

This quiz assesses the nurse's knowledge in prioritizing assessment data for a client with electrical injury and burn care, including post-injury complications.

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