Burns NCLEX Questions in class

Burns NCLEX Questions (in class) Leave the first rating Terms in this set (13) Save The nurse is planning care for a patient with partial and full-thickness skin destruction related to burn injury of the lower extremities. Which of the following interventions would the nurse expect to include in this patient's care?(select all that apply)

• Escharotomy
• Administration of diuretics
• IV and oral analgesia
• Daily cleansing and debridement
• Escharotomy
• IV and oral analgesia
• Daily cleansing and debridement

The nurse is caring for a patient with partial- and full-thickness burns to 50% of the body. Once the patient is able to tolerate a diet, when planning nutritional interventions for this patient, the nurse would recommend which of the following dietary choices as a snack?

• Glass of milk
• Peanut butter and jelly sandwich
• Cup of Cappuchino with cream
• Hot chicken broth and crackers
• Peanut butter and jelly sandwich

A patient is admitted to the emergency department with superficial and partial thickness burns after being involved in a house fire. Which of the following assessment findings would alert you to the presence of an inhalation injury?(select all that apply)

• Generalized pallor
• Singed nasal hair
• Painful swallowing
• Burns on chest
• Being rescued from a large house

fire

• Singed nasal hair
• Painful swallowing
• Burns on chest
• Being rescued from a large house fire

When caring for a patient with an electrical burn injury who was just admitted to a burn unit, the nurse should question a health care provider's order for

• Mannitol 75 Gm IV
• Urine for myoglobin
• Lactated Ringers at 75 ml/hr
• Continuous cardiac monitoring
• Mannitol 75 Gm IV

A patient is brought to the ED at 8:00

AM with superficial and partial thickness burns covering the entire right upper and lower extremity, Using the rule of nines, the nurse would calculate the extent of these burns as being

• 9%

B. 18%

C. 27%

D. 36%

C. 27%

The patient above is given fluid resuscitation based on the Parkland formula. The patient weighs 63 kg.The nurse intitiates IV therapy. What rate should the nurse set the IV pump for the first 8 hours?

• 325 ml/hr
• 375 ml/hr
• 425 ml/hr
• 475 ml/hr
• 425 ml/hr

(Step 1. 4mL X 63kg X 27 = 6804) (Step 2. 6804 / 2 = 3402) (Step 3. 3402 / 8 hours = 425.25)

Mary Jones a 60-year-old woman is admitted to the ED with burns sustained when her gas furnace exploded when she was relighting a pilot light. She is awake and oriented but very agitated and frightened and cannot remember the accident. She is having severe pain in her face and upper chest. She also is shivering and complains of being cold, and her voice is raspy. Her hair and eyebrows are singed, and she has mixed areas of red, fluid-filled vesicles and waxy, white skin involving her face, anterior neck, all of her right arm, dorsal aspect of her left arm, and anterior chest and abdomen. Her heart rate is 132 beats/min, respiratory rate is 36 breaths/min, and a thigh blood pressure is 110/52 mm Hg. Her past medical history is positive for a myocardial infarction at age 50 with resultant chronic heart failure. Her

current medications are as follows:

quinapril (Accupril) 20 mg daily, furosemide (Lasix) 20 mg daily, and pravastatin (Pravachol) 40 mg daily.Her estimated weight is 70 kg. In the emergency department, the nurse carefully assesses MJ. Which finding would be of most concern?

• Urine output 34 ml in the last hour
• Edema formation in the upper

airway

• Pulmonary embolism resulting
• Edema formation in the upper airway