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NUR 211 ATI Burns/Shock practice Questions Leave the first rating Students also studied Terms in this set (22) Science MedicineNursing Save Burns ATI Quiz bank questions 10 terms lexi10davisPreview ATI Burns ch. 57 23 terms ShamirisPreview
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143 term Siss A nurse is caring for a preschooler who has a partial thickness burn on her right forearm. Which of the following findings should the nurse expect? SATA -Sensitive to touch -Wound blanches with pressure -Blisters present on skin A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?Talk with the client during wound care.A nurse in an emergency department is caring for a client who has deep partial- and full-thickness burns to his chest, abdomen, and upper arms. What is the nurse's priority intervention for this client during the resuscitation phase of injury?Maintain the airway A nurse is assessing a client following the application of an aquathermia pad. Which of the following is the first indication to the nurse that the client is experiencing a superficial burn injury to the application site?Erthema A nurse is monitoring a client who is admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?Heart rate
A nurse is providing dietary teaching for a client who has a burn injury and adheres to a vegan diet. The nurse should recommend which of the following foods as the best source of protein to promote would healing?One cup of lentils A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take first?Inspect the mouth for signs of inhalation injuries.A nurse is admitting a client who sustained severe burn injuries. The nurse refers to the rule of nines to determine the total body surface area of the burn injury. What percentage of body surface area should the nurse estimate the client has burned?54% A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?Difficulty swallowing A nurse is monitoring the fluid replacement of a client who has sustained burns. The nurse should administer which of the following fluids in the first 24 hours following a burn injury?Lactated ringers A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?Location of the burn A nurse is preparing to start an IV infusion of lactated ringers for a client who sustained a burn injury. The client is prescribed 5,200mL of fluid over the first 24 hours. How many mL/hr should the nurse set the pump to infuse for the first 8 hours?325 A nurse is admitting a client who has sustained severe burn injuries in a grease fire. The nurse shades in a diagram indicating the burned surface areas. Using the rule of nines, the nurse should estimate that the client has burned what percentage of body surface area?
31.5% A client who is having burn debridement states, "you are the worst nurse I have ever seen. All you do is hurt me." Which of the following responses should the nurse make?"Tell me more about that." A nurse in an emergency department is reviewing the medical record of a client who has an extensive burn injury. Which of the following laboratory results should the nurse expect?Hyperkalemia
A nurse is caring for a client who has full-thickness burns over 75% of his body. The nurse should use which of the following methods to monitor the cardiovascular system?Monitor the pulmonary artery pressure The nurse in the emergency department is caring for a client who has 30% burn injury to her lower extremities.Which of the following interventions should the nurse perform first?Administer IV fluids A nurse is caring for a client who has an electrical burn.With the client's permission, the nurse is answering questions from the family about his status. Which of the following responses should the nurse make?"He has an electrical burn. He is stable, and we will update you with any changes." A nurse in an emergency department is caring for a client who has burns on the front and back of both his legs and arms. Using the rule of nines, the nurse should document burns to which percentage of the client's body surface area?54% A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?airway obstruction A nurse is caring for a toddler who arrives at the emergency department with burns to his lower legs.Which of the following actions should the nurse take?Pour tepid water over the burns A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails.Which of the following nursing statements is appropriate?"Large incisions will be made in the eschar to improve circulation."
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