Which laboratory result, obtained on a client 24 hours post-burn injury, will the nurse report to the physician immediately? A. Art...
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Thursday 31 March 2022
Burns and Burn Injury Q 22
The nurse manager is observing a new nursing graduate caring for a burned client in protective isolation. The nurse manager intervenes if th...
Burns and Burn Injury Q 23
The client who experienced an inhalation injury 6 hours ago has been wheezing. When the client is assessed, wheezes are no longer heard. Wha...
Burns and Burn Injury Q 24
Which intervention is most important to use to prevent infection by autocontamination in the burned client during the acute phase of recover...
Burns and Burn Injury Q 25
A 12-year-old male with facial burns asks the nurse if he will ever look the same. Which response is best for the nurse to provide? ...
Burns and Burn Injury Q 26
Which nursing intervention is likely to be most helpful in providing adequate nutrition while the client is recovering from a thermal burn i...
Burns and Burn Injury Q 27
A client is undergoing fluid replacement after being burned 20% of her body 12 hours ago. The nursing assessment reveals a blood pressure of...
Burns and Burn Injury Q 28
Ten hours after the client with 50% burns is admitted, her blood glucose level is 90 mg/dL. What is the nurse’s best action? A. Not...
Burns and Burn Injury Q 29
When should ambulation be initiated in the client who has sustained a major burn? A. When all full-thickness areas have been closed...
Burns and Burn Injury Q 30
The client with open burn wounds begins to have diarrhea. The client is found to have a below-normal temperature, with a white blood cell co...
Burns and Burn Injury Q 31
Which statement best exemplifies the client’s understanding of rehabilitation after a full-thickness burn injury? A. "I am ful...
Burns and Burn Injury Q 32
Nurse Kelsey is a nurse manager assigned to the burn unit. Which client is best to assign to an RN who has floated from the surgery unit? ...
Burns and Burn Injury Q 33
On admission to the emergency department the burned client’s blood pressure is 90/60, with an apical pulse rate of 122. These findings are a...
Burns and Burn Injury Q 34
What statement by the client indicates the need for further discussion regarding the outcome of skin grafting (allografting) procedures? ...
Burns and Burn Injury Q 35
The family of a client who has been burned asks at what point the client will no longer be at greater risk for infection. What is the nurse’...
Burns and Burn Injury Q 36
Which statement indicates that a client with facial burns understands the need to wear a facial pressure garment? A. "My facia...
Burns and Burn Injury Q 37
A client sustained burns on the back. These areas appear dry, blotchy cherry red, blistering, doesn’t blanch, no capillary refill, and reduc...
Burns and Burn Injury Q 38
Twelve hours after the client was initially burned, bowel sounds are absent in all four abdominal quadrants. What is the nurse’s best action...
Burns and Burn Injury Q 39
Which statement by the client indicates a correct understanding of rehabilitation after burn injury? A. “I will never be fully reco...
Burns and Burn Injury Q 40
The nurse is conducting a home safety class. It is most important for the nurse to include which information in the teaching plan? ...
Burns and Burn Injury Q 41
The client with a dressing covering the neck is experiencing some respiratory difficulty. What is the nurse’s initial action? A. Ad...
Burns and Burn Injury Q 42
Which of the following refers to a wound covering brought about by the donated human cadaver skin provided by the skin bank? A. Aut...
Burns and Burn Injury Q 43
Which clinical manifestation indicates that the burned client is moving into the fluid remobilization phase of recovery? A. Increas...
Burns and Burn Injury Q 44
Which statement made by the client with facial burns who has been prescribed to wear a facial mask pressure garment indicates a correct unde...
Burns and Burn Injury Q 45
The nurse provides wound care for a client 48 hours after a burn injury. To achieve the desired outcome of the procedure, which nursing acti...
Burns and Burn Injury Q 46
During the acute phase, the nurse applied gentamicin sulfate (topical antibiotic) to the burn before dressing the wound. The client has all ...
Burns and Burn Injury Q 47
A client is being discharged today after undergoing autografting. What would the nurse include in the discharge instructions? A. Re...
Burns and Burn Injury Q 48
What is the priority nursing diagnosis during the first 24 hours for a client with full-thickness chemical burns on the anterior neck, chest...


