CC CH 53 - Burns (NCLEX style questions)

CC CH 53 - Burns (NCLEX style questions) atilano_morilloTop creator on Quizlet Save Essential of Critical Care Nursing Ch...33 terms jettisoned7Preview Chapter 25 Burns NCLEX style quest...22 terms Amanda_Washingto... Preview NCLEX Style Practice Questions Bur...100 terms akrrissman84Preview Chapte 24 terms Ma B) Irrigate with water to the burned area.

1.A patient has had an alkali splash causing burns to the right upper extremity and the right side of the face. Which intervention by the nurse is a priority?A) Obtain a health history.B) Irrigate with water to the burned area.C) Apply an antibiotic cream.D) Start an intravenous line (IV) of normal saline at 10 mL/hr.

C) Serial carboxyhemoglobin levels 2.A patient arrived in the emergency department (ED) after being found by a family member unconscious in the garage with the car running. High flow oxygen at 100% is administered in the ED. The nurse knows that which of the following diagnostic tests would be the best to determine that the present therapy is effective?A) Pulse oximetry B) Chest x-ray C) Serial carboxyhemoglobin levels D) Hemoglobin and hematocrit B) Blood pressure 60/40 C) PaO2 72 D) Urine output <10>

B) Crackles in lung fields 4.The nurse is caring for a patient 24 hours after fluid resuscitation for burns over 50% of the body. Which assessment data obtained by the nurse indicates complications from the fluid resuscitation?A) Absent peripheral pulses B) Crackles in lung fields C) Sinus bradycardia D) 1+ pitting edema of the feet D) Urine output of <20>30 mL/hr D) Urine output of <20>

A) Assess breath sounds.

6.The patient has received a nebulizer treatment with a bronchodilator for the treatment of bronchospasm related to an inhalation injury. What intervention by the nurse can effectively evaluate the effectiveness of this treatment?A) Assess breath sounds.B) Monitor for cardiac dysrhythmias.C) Assess heart rate.D) Assess for jugular vein distention.A) Absent distal radial pulses B) Progressive diminution of ultrasound signal D) Decrease in capillary refill 7.The nurse is assessing the patient with a circumferential burn to the left upper extremity. The nurse anticipates the performance of an escharotomy with which of the following assessment findings? Select all that apply.A) Absent distal radial pulses B) Progressive diminution of ultrasound signal C) Limited range of motion D) Decrease in capillary refill E) Pink nail beds