ATI Adult Med-surg CH. 75- Burns Exam Questions and Answers
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Course
Burns
Institution
Burns
A nurse in a provider's office is assessing a client who has a severe sunburn. Which of the following classifications should the nurse use to document this burn?
A. Superficial thickness
B. Superficial partial thickness
C. Deep partial thickness
D. Full thickness - Answer-A. CORRECT: A sunb...
ATI Adult Med-surg CH. 75- Burns Exam
Questions and Answers
A nurse in a provider's office is assessing a client who has a severe sunburn. Which of
the following classifications should the nurse use to document this burn?
A. Superficial thickness
B. Superficial partial thickness
C. Deep partial thickness
D. Full thickness - Answer-A. CORRECT: A sunburn is a superficial thickness burn.
Superficial burns damage the top layer of the skin.
B. A superficial partial‐thickness burn results from flames or scalds. This damages the
entire epidermis layer of the skin.
C. A deep partial‐thickness burn can result from contact with hot grease. This affects
the deep layers of the skin.
D. A full‐thickness burn can result from contact with hot tar. This affects the dermis and
sometimes the subcutaneous fat layer.
A nurse is caring for a client who has sustained burns over 35% of his total body
surface area. The client's voice has become hoarse. He has a brassy cough and is
drooling. The nurse should identify these findings as indications that the client has
which of the following?
A. Pulmonary edema
B. Bacterial pneumonia
C. Inhalation injury
D. Carbon monoxide poisoning - Answer-A. Difficulty breathing and production of pink
frothy sputum indicate pulmonary edema.
B. Productive cough and a fever are indicative of a bacterial infection.
C. CORRECT: Wheezing and hoarseness indicate inhalation injury with impending loss
of the airway. These require immediate reporting to the provider.
D. Confusion and headaches indicate carbon monoxide poisoning.
A nurse is assessing a client who sustained deep partial‐thickness and full‐thickness
burns over 40% of his body 24 hr ago. Which of the following are findings should the
nurse expect? (Select all that apply.)
A. Temperature 36.1 C (97 F)
B. Bradycardia
C. Hyperkalemia
D. Hyponatremia
E. Decreased hematocrit - Answer-A. CORRECT: Dyspnea can occur during the initial
phase following a burn due to airway injury and uid shifts.
B. Tachycardia occurs during the initial phase following a burn due to sympathetic
nervous system compensation.
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