Burn (Tests) - Answers

Which of these, the nurse should assess the client for after the first 48 hours after a thermal injury? a. Hypokalemia and hyponatremia. b. Hyperkalemia and hyponatremia. c. Hypokalemia and hypernatremia. d. Hyperkalemia and hypernatremia. Which of them is the first priority of care, for a patient with a burn injury? a. An airway established b. Fluid replaced. c. An indwelling catheter. d. Pain medication administered. Which of the following the nurse would classify a patient has a scald burn on the arm that is bright red, moist, and has several blisters? a. A superficial partial-thickness burn. b. A radiation burn. c. A deep partial-thickness burn. d. A full-thickness burn. How should the nurse classify burn injury for a patient has a partialthickness injury of 28% and full-thickness injury of 30% or greater of total body surface area? a. Major. b. Moderate. c. Minor. d. Superficial Which of the following condition the burned patient should need to nasotracheal or endotracheal intubation? a. Carbon monoxide poisoning. b. Electrical burns causing cardiac dysrhythmias. c. Thermal burn injuries to the face, neck, or airway. d. Thermal burn injuries to the different parts of the body. Which piece of assessment data is the best indicator for the nurse is performing fluid resuscitation on a burn client? a. b. c. d. Respirations 24, unlabored. Urine output of 30ml/hr. Apical pulse of 110/min. Blood pressure 90/60. Which of these problems the nurse would expect during rehabilitation phase for a 22-year-old female with second- and thirddegree burns to the face, neck, chest, and arms? a. Body image disturbance. b. Risk for infection. c. Activity intolerance. d. Fluid volume deficit. Which of the following statements is correct about partial thickness wound? a. Only epidermis is affected. b. Epidermis and dermis only are affected. c. Epidermis, dermis and subcutaneous tissues are affected. d. Epidermis, dermis, subcutaneous tissues, and muscles. What is the priority nursing diagnosis during the first 24 hours for a client with full-thickness chemical burns on the anterior neck, chest, and all surfaces of the left arm? a. Risk for Ineffective Breathing Pattern b. Decreased Tissue Perfusion c. Risk for Disuse Syndrome d. Disturbed Body Image.