March 2022 - Gyan Darpan : Learning Portal
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Thursday 31 March 2022

Burns and Burn Injury Q 21

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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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...
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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...
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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...
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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?         ...
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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...
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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...
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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...
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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...
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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...
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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...
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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?   ...
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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...
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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?    ...
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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’...
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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...
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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...
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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...
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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...
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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?          ...
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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...
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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...
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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...
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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...
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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...
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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 ...
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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...
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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...
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