Pearson - Burns - NCLEX ScienceMedicineNursing Kamih_RoseTeacher Save NCLEX Style Practice Questions Bur...100 terms akrrissman84Preview Burns Nclex style questions 152 terms S582643Preview Burns/NCLEX QUESTIONS 20 terms kidniki77Preview Burns T 30 terms son Deep partial-thickness A client presents with a burn injury that appears pale and waxy on the surface and exhibits a decrease in capillary refill time. Which type of burn does the nurse suspect in the client?Superficial partial-thickness Full-thickness Superficial Deep partial-thickness Renal system A client is being treated for a major burn. Tests show that over the past 24 hours, urine output has decreased, and serum creatinine and blood urea nitrogen (BUN) have increased. Which system is affected by the burn as indicated by the test results?Respiratory system Renal system Digestive system Immune system
"If the skin has a bull's-eye appearance, it is healing appropriately." The nurse is talking with a colleague about a client who is experiencing the loss of skin protection caused by burns. Which statement by the colleague nurse indicates a need for further discussion?"The client will have a loss of water caused by evaporation." "The client is at risk for infection because of loss of skin integrity." "It may be difficult to maintain temperature because of the loss of heat from the burns." "If the skin has a bull's-eye appearance, it is healing appropriately." Thinning of the skin Older adults are more susceptible to deep burns from sources that would cause only minor or moderate burns in a younger individual. Which age-related physical change is responsible for this increased susceptibility?Slower reaction time Impaired mobility Thinning of the skin Sensory impairment Superficial A nurse is teaching a client who is about to undergo radiation treatments for cancer. Which type of burn should the nurse include in the teaching?Deep partial-thickness Full-thickness Superficial Superficial partial-thickness
Preexisting medical conditions Sensory impairment Sun exposure Socioeconomic status The community health nurse is planning a program for older adults on burn prevention. Which topic should be included? (Select all that apply.) Preexisting medical conditions Sensory impairment Use of handrails in the bath Sun exposure Socioeconomic status 120oF The nurse teaching older adult clients about the prevention of burns explains that the water heater should be set no higher than a certain temperature. Which is the highest temperature that will not inflict scald burns?160oF 140oF 100oF 120oF Fluid resuscitation requirements A client with a burn must be weighed on a daily basis. Which calculation requires the body weight of a client with a burn?Dosage of IV analgesics Risk of infection Fluid resuscitation requirements Extent of the burn
Tetanus Burn injuries carry an increased risk of anaerobic infection. Which disease's immunization status should be determined in clients with a burn?Pneumonia Influenza Tetanus Hepatitis B Fire prevention A nurse is counseling an older adult client to help prevent burn injuries. Which point should the nurse emphasize to this client?Skin integrity Fire prevention First-aid measures Higher mortality in older adults Adults of any age with third-degree burns on more than 5% of their total body surface area Which client should be treated at a burn center according to the American Burn Association?People older than 50 years who sustain second- or third-degree burns on more than 5% of their total body surface area Individuals younger than 50 years who sustain second- or third-degree burns on more than 10% of their total body surface area Adults of any age with third-degree burns on more than 5% of their total body surface area Any infant with scald burns Pain management A client presents with a full-thickness burn. Which nursing action will constitute the most significant segment of the nursing care plan throughout the course of burn treatment?Wound care Nutrition therapy Infection prevention Pain management