Burns NCLEX questions

Burns NCLEX questions Leave the first rating Students also studied Terms in this set (49) Chattanooga State Community College LP 0 Save Burns/NCLEX QUESTIONS 20 terms kidniki77Preview Burns NCLEX questions Teacher 122 terms NJAMfRNPreview NCLEX Style Practice Questions Bur...100 terms akrrissman84Preview Burns N 30 terms kitty The nurse is teaching first aid measures to a group of adolescents about appropriate treatment for burns. The nurse should anticipate the need for further teaching when one of the adolescents makes which statement?"It is appropriate to place butter on the burn." The nurse caring for a child who sustained a burn injury plans care based on which pediatric considerations associated with this injury? Select all that apply.A delay in growth may occur after a burn injury.An immature immune system presents an increased risk of infection for infants and young children Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults.The nurse is caring for a child who was burned in a house fire. The nurse assists in developing a plan of care for monitoring the child during the treatment for burn shock.The nurse identifies which assessment as providing the most accurate guide to determine the adequacy of fluid resuscitation?Level of consciousness A 4-year-old child is being transported to the trauma center from a local community hospital for treatment of a burn injury that is estimated as covering over 40% of the body. The burns are partial- and full-thickness burns. The nurse is asked to prepare for the arrival of the child and gathers supplies anticipating that which will be prescribed initially?Insertion of a nasogastric tube Silver sulfadiazine is prescribed for a client with a burn injury. Which laboratory finding requires the need for monitoring by the nurse?White blood cell count of 3000 mm3 (3.0 × 109/L) - leukopenia Have a look at our LP 0 folder to see more peer- created content.

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A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors the client, knowing that which finding indicates the occurrence of a systemic effect?Hyperventilation Silver sulfadiazine is prescribed for a client with a partial- thickness burn and the nurse provides teaching about the medication. Which statement made by the client indicates a need for further teaching about the treatments?"The medication is likely to cause stinging initially." The primary health care provider has prescribed a bacteriostatic agent effective against both gram-positive and gram-negative organisms for application to a burn wound. The nurse determines that which medication has been prescribed Mafenide acetate The nurse is caring for a client with a burn injury to the lower legs. Silver sulfadiazine is prescribed to be applied to the sites of injury. Which indicates the appropriate method to apply this medication?Apply to cleansed, debrided wounds as prescribed.A client with a burn injury is applying mafenide acetate to the wound. The client calls the health care provider's office and tells the nurse that the medication is uncomfortable and is causing a burning sensation. Which instructions should the nurse reinforce to the client?Continue with the treatment because this is expected.A child is admitted to the burn unit with partial- and full- thickness burns over 35% of the body. The nurse assisting in caring for the child develops the plan of care. Which nursing intervention is the priority?Inserting a Foley catheter A client who sustained an inhalation injury arrives in the emergency department. On data collection, the nurse notes that the client is very confused and combative. The nurse determines that the client is experiencing which problem?Hypoxia A client is brought to the emergency department following a smoke inhalation injury. The initial nursing action is to prepare the client to receive which treatment?100% humidified oxygen by face mask An emergency department nurse is caring for a client who sustained a burn injury to the anterior arms and anterior chest area. The client sustained the burn from a home fire that occurred in the basement. Which data would indicate that the client sustained a respiratory injury as a result of the burn?Use of accessory muscles for breathing

The nurse discusses emergency nursing measures that are implemented at the site of an injury with a nursing student. Which initial action does the nurse tell the student to perform in the event of carbon monoxide poisoning?Carry the client to fresh air.During the emergent phase of a client with severe burns the nurse expects to perform which action?Insert a Foley catheter.The nurse is assisting in caring for a victim of a burn injury during the emergent/resuscitative phase. On data collection of the client, the nurse notes that the urine output has decreased and the blood pressure is dropping. The nurse should perform which immediate action?Notify the registered nurse.A mother of a 9-year-old child calls the emergency department and tells the nurse that her child received a minor burn on the hand after accidentally touching a grill during a family cookout. The mother asks the nurse for advice on how to treat the burn. Which action should the nurse tell the mother to immediately perform?Place the child's hand under cool running water The nurse is assisting in caring for a client who suffered an inhalation injury from a wood stove. The carbon monoxide level reveals a level of 45%. Based on this level, the nurse should anticipate which sign in the client?Tachycardia A client arrives at the emergency department following a burn injury that occurred in the basement at home, and an inhalation injury is suspected. Which prescription should the nurse anticipate for the client?100% oxygen via a tight-fitting non-rebreather face mask Several clients arrive simultaneously at the emergency department after sustaining burn injuries in a house fire.Which client will require the closest observation for signs of respiratory distress?A client who has singed nasal hairs and worsening hoarseness A client presents to the urgent care center with a chemical burn of the right eye. The priority for the nurse is to prepare the client for which nursing intervention?Flushing the right eye with copious amounts of sterile solution An adult client is admitted to the emergency department following a burn injury. The burn initially affected the client's upper half of the anterior torso, and there were circumferential burns to the lower half of both of the arms. The client's clothes caught on fire, and the client ran, causing subsequent burn injuries to the entire face (anterior half of the head) and the upper half of the posterior torso. Using the rule of nines, which percentage would characterize the burn injury? Refer to the figure.< 31.5%

A client sustains a burn injury to the anterior right and left legs and perineal area. According to the rule of nines, the nurse should determine that this injury constitutes which body percentage?19% A client suffered smoke inhalation and burns to the anterior trunk during a house fire. The nurse reviews the plan of care and notes that the client has an airway problem. Which findings support an airway problem?Select all that apply.Hoarse voice Guttural respiratory sounds A client with a major burn is admitted to the emergency department. In priority order, which actions should the nurse take?1 Establish airway.Initiate fluid therapy.2 Initiate fluid therapy.Insert Foley catheter.3 Insert Foley catheter.Insert a nasogastric tube.4 Insert a nasogastric tube.The nurse is collecting data on a client who sustained circumferential burns of both legs. The nurse should check which first?Peripheral pulses The nurse is caring for a new postoperative client and is monitoring the client for signs of shock. The nurse monitors for which signs of this postoperative complication?Tachycardia, cold skin, and hypotension A client has sustained full-thickness circumferential burns of the trunk. Which should be the priority concern of the nurse?Client's ability to adequately ventilate During the emergent phase after a major burn injury, which abnormalities should the nurse expect to note?Increased hematocrit and increased potassium The nurse is caring for a client who is a victim of a major burn injury. Which are the names of the primary phases of burn care assessment? Select all that apply.Acute, Resuscitative, Rehabilitative