IGGY BURNS REVIEW NEWEST ACTUAL EXAM WITH COMPLETE QUESTIONS
AND CORRECT VERIFIED ANSWERS (DETAILED ANSWERS) ALREADY GRADED
A+ 100% GUARANTEED TO PASS CONCEPTS!!!
The nurse is caring for a patient with 45% total body surface area (TBSA) burns. Which
are priority medical surgical concepts for this patient?
1- Tissue integrity
2- Cellular regulation
3- Perfusion
4- Elimination
5- Fluid and electrolyte balance
6- Gas exchange - <<ANSWER>>1- Tissue integrity
3- Perfusion
5- Fluid and electrolyte balance
A patient was burned on the forearm after tripping and falling against a wood burning
stove. There are currently several small blisters over the burn area. What does the
nurse advise the patient to do about the blisters?
a. leave the blisters intact bc they protect the wound from infection
b. use a sterile needle to open a tiny hole in each blister to drain the fluid
c. allow blisters to increase in size; then open them to prevent immunosuppression
d. leave the blisters intact unless the pain and pressure increase. - <<ANSWER>>a.
leave the blisters intact bc they protect the wound from infection
The nurse is applying a dressing to cover a burn on a patient's left leg. What technique
does the nurse use?
a. Consider the depth of the injury and amount of drainage, and work distal to proximal.
b. Change the dressing every 4 hours or when the drainage leaks through the dress-
ing.
c. Consider the patient's mobility and the area of injury, and work proximal to distal.
d. Use multiple gauze layers and roller gauze to pad and protect the joint areas. -
<<ANSWER>>a. Consider the depth of the injury and amount of drainage, and work
distal to proximal.
,The nurse has just received a phone report on a burn patient being transferred from the
burn intensive care unit to the step-down burn unit. Which task is appropriate to
delegate to unlicensed assistive personnel (UAP) in order to prepare the room?
a. Place sterile sheets and a sterile pillowcase on the bed.
b. Place a new disposable stethoscope in the room.
c. Clear a space in the corner for the patient's flowers.
d. Hang a sign on the door to prohibit entry of visitors. - <<ANSWER>>b. Place a new
disposable stethoscope in the room.
The nurse is monitoring the nutritional status of a burn patient. Which indicators does
the nurse use? (Select all that apply.)
a. Amount of food the patient eats
b. Weight to height ratio
c. Serum albumin
d. Amount of water the patient drinks
e. Blood glucose
f. Serum potassium - <<ANSWER>>a. Amount of food the patient eats
b. Weight to height ratio
c. Serum albumin
e. Blood glucose
The nurse is educating a patient who has sustained burns to the dominant hand. What
kind of active range of motion exercises does the nurse instruct the patient to perform?
a. Exercise the hand, thumb, and fingers every hour while awake.
b. Exercise the fingers and thumb at least three times a day.
c. Use the hands to perform activities of daily living.
d. Squeeze a soft rubber ball several times a day. - <<ANSWER>>a. Exercise the hand,
thumb, and fingers every hour while awake.
A burn patient must have pressure dressings applied to prevent contractures and
reduce scarring. For maximum effectiveness, what procedure pertaining to the pressure
garments is implemented?
a. Changed every 24 to 48 hours to prevent infection
b. Worn at least 23 hours a day until the scar tissue matures
c. Removed for hygiene and during sleeping
d. Applied with aseptic technique - <<ANSWER>>b. Worn at least 23 hours a day until
the scar tissue matures
The family reports that the burn patient is unable to perform self-care measures, so
someone has been "doing everything for her." The nurse finds that the patient has the
knowledge and the physical capacity to independently perform self-care. What is the
nurse's best response?
, a. "What can your family do to help you feel better and stronger?"
b. "You should be doing these things for yourself to increase your self-esteem."
c. "Can you tell me about what has been happening since you were discharged from the
hospital?"
d. "Let's review the principles of self-care that you learned in the hospital." -
<<ANSWER>>c. "Can you tell me about what has been happening since you were
discharged from the hospital?"
A patient who sustained severe burns to the face with significant scarring and
disfigurement will soon be discharged from the hospital. Which intervention is best to
help the patient make the transition into the community?
a. Discuss cosmetic surgery that could occur over the next several years.
b. Focus on the positive aspects of going home and being with family.
c. Teach the family to perform all aspects of care for the patient.
d. Encourage visits from friends and short public appearances before discharge -
<<ANSWER>>d. Encourage visits from friends and short public appearances before
discharge
What does the process of full-thickness wound healing include? (Select all that apply.)
a. Healing occurs by wound contraction.
b. Eschar must be removed.
c. Large blisters are protective and left undisturbed.
d. Skin grafting may be necessary.
e. Fasciotomy may be needed to relieve pressure and allow normal blood flow.
f. Complete healing occurs within 3-6 weeks - <<ANSWER>>a. Healing occurs by
wound contraction.
b. Eschar must be removed.
d. Skin grafting may be necessary.
e. Fasciotomy may be needed to relieve pressure and allow normal blood flow.
Which statement about the third-spacing or capillary leak syndrome in a patient with
severe burns is accurate?
a. It usually happens in the first 36 to 48 hours.
b. It is a leak of plasma fluids into the interstitial space.
c. It is present only in the burned tissues.
d. It can usually be prevented with diuretics. - <<ANSWER>>b. It is a leak of plasma
fluids into the interstitial space.
As a result of third-spacing, during the acute phase, which electrolyte imbalances may
occur? (Select all that apply.)
a. Hyperkalemia
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