SET 3 BURNS PEDIATRIC PRIMARY CARE NCLEX

(SET 3 )BURN’S PEDIATRIC PRIMARY CARE NCLEX

QUESTIONS AND BURN INJURY NURSING

MANAGEMENT: SET 3 (20 Items) - Latest This

Summer

• Question

Nurse Malcolm is performing a sterile dressing change on a client with a superficial partial-thickness burn on the shoulder and back. Arrange the steps in the order in which each should be performed.• Administer Tramadol (Tramal) 50 mg IV.• Debride the wound of eschar using gauze sponges.• Obtain a sample for wound culture.• Apply silver nitrate ointment.• Cover the wound using a sterile gauze dressing.Incorrect

Correct Order:

• Pain medication is administered prior to the dressing change since the type of burn will be painful during the procedure. Then the wound is debrided before getting the sample for culture to prevent other bacteria that can contaminate the actual wound. An antibacterial cream such as silver nitrate is applied to the area to attain the maximum effect of the medication. Lastly, cover the wound using a sterile dressing.

• Question

Which of the following medications given to a 12-year-old client for the treatment of deep partial-thickness burn is the most important to double- check with another licensed nurse before administering it?• A. Aloe Vera Relief Burn spray.• B. Silver Sulfadiazine ointment.• C. Omeprazole 20 mg slow IV push.• D. Amitriptyline (Elavil) 50 mg PO.Incorrect

Correct Answer: D. Amitriptyline (Elavil) 50 mg PO.

• Option D: Amitriptyline (Elavil) is useful in the management of

neuropathic pain following burn injury and since it is an antidepressant if given with a child, utmost precaution is given.

• Options A, B, and C: All health facility practice double-checking of

medications prior to administration, Of all the medications given, Amitriptyline is the most important to double-check with another licensed nurse.

• Question

The nurse is administering fluids intravenously as ordered to a client who acquired full-thickness burn injury on the abdomen. To determine the sufficiency of fluid resuscitation, the nurse would monitor which of the following that would provide the most reliable parameter for determining adequacy?• A. Level of consciousness.• B. Peripheral pulses.• C. Urine output.• D. Vital signs.Incorrect

Correct Answer: C. Urine output.

• Option C: Of all the options, Urine output is the most reliable

indicator for determining the adequacy of fluid resuscitation.