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nur265 exam 3 shock/burn chpt 26,37 practice questions and answers 100% pass
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nur265 exam 3 shock/burn chpt 26,37 practice questions and answers 100% pass 1. The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client? a. "Administer the prescribed...

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  • November 19, 2024
  • 59
  • 2024/2025
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  • nur265 exam 3 shockburn chpt 2637 practice quest

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nur265 exam 3 shock/burn chpt 26,37 practice
questions and answers 100% pass


1. The registered nurse assigns a client who has an open burn wound to a licensed

practical nurse (LPN). Which instruction should the nurse provide to the LPN when

assigning this client?


a.


"Administer the prescribed tetanus toxoid vaccine."


b.


"Assess the client's wounds for signs of infection."


c.


"Encourage the client to breathe deeply every hour."


d.


"Wash your hands on entering the client's room." - ANSWER✔✔-D


Infection can occur when microorganisms from another person or from the

environment are transferred to the client. Although all of the interventions listed can

help reduce the risk for infection, handwashing is the most effective technique for

preventing infection transmission.

Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 1/59

,DIF: Applying/Application REF: 466


KEY: Infection control| Standard Precautions| collaboration


MSC: Integrated Process: Nursing Process: Implementation


NOT: Client Needs Category: Safe and Effective Care Environment: Management of

Care


2. The nurse is caring for a client with an acute burn injury. Which action should the

nurse take to prevent infection by autocontamination?


a.


Use a disposable blood pressure cuff to avoid sharing with other clients.


b.


Change gloves between wound care on different parts of the client's body.


c.


Use the closed method of burn wound management for all wound care.


d.


Advocate for proper and consistent handwashing by all members of the staff. -

ANSWER✔✔-B


Autocontamination is the transfer of microorganisms from one area to another area of

the same client's body, causing infection of a previously uninfected area. Although all


Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/59

,techniques listed can help reduce the risk for infection, only changing gloves between

performing wound care on different parts of the client's body can prevent

autocontamination.


DIF: Applying/Application REF: 485


KEY: Infection control| Standard Precautions


MSC: Integrated Process: Nursing Process: Implementation


NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection

Control


3. The nurse teaches burn prevention to a community group. Which statement by a

member of the group should cause the nurse the greatest concern?


a.


"I get my chimney swept every other year."


b.


"My hot water heater is set at 120 degrees."


c.


"Sometimes I wake up at night and smoke."


d.


"I use a space heater when it gets below zero." - ANSWER✔✔-C


Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 3/59

, House fires are a common occurrence and often lead to serious injury or death. The

nurse should be most concerned about a person who wakes up at night and smokes.

The nurse needs to question this person about whether he or she gets out of bed to do

so, or if this person stays in bed, which could lead to falling back asleep with a lighted

cigarette. Although it is recommended to have chimneys swept every year, skipping a

year does not pose as much danger as smoking in bed, particularly if the person does

not burn wood frequently. Water heaters should be set below 140° F. Space heaters

should be used with caution, and the nurse may want to ensure that the person does

not allow it to get near clothing or bedding.


DIF: Applying/Application REF: 472


KEY: Safety| smoking cessation MSC: Integrated Process: Teaching/Learning


NOT: Client Needs Category: Health Promotion and Maintenance


4. A nurse cares for a client who has facial burns. The client asks, "Will I ever look the

same?" How should the nurse respond?


a.


"With reconstructive surgery, you can look the same."


b.


"We can remove the scars with the use of a pressure dressing."


c.


Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 4/59

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