Burns Questions and Answers 100% Verified

The charge nurse in the emergency department (ED) is notified that a patient is soon arriving with partial-thickness burns. Drag the findings to the proper column that the nurse should anticipate with partial-thickness burns. - ️️Blisters Intact nerve endings Red, shiny burn appearance Mild to moderate edema The nurse receives reports on clients during the shift change. Indicate the order that each patient should be seen. - ️️1. The client recently admitted 2. The client with partial 3. The client returning from surgical 4. The client with full A client was recently admitted to the emergency department (ED) following rescue from a house fire and the total body surface area (TBSA) burned is 35%. The client is coughing and drooling with a hoarse voice. What type of injury is indicated by these findings? - ️️Inhalation burn A nurse is caring for a client in the acute phase of a burn injury. Which strategies for pain management are most effective? - ️️The client should be involved in pain management decisions. A multimodal approach will achieve the best results. A pain rating tool should be used to consistently monitor the level of pain. A nurse is caring for a client with 30% TBSA deep partial-thickness and full-thickness burns to the left anterior chest and the entire left arm. What is the most important assessment for this client? - ️️Presence of pulses in the arm A nurse is caring for a client in the emergent phase of burn management. For the findings below, what result should be anticipated in this phase? Select only one answer for each finding. - ️️Increased Hematocrit Potassium Decreased Sodium Albumin The nurse is admitting a client with a burn who weighs 72 kg and 45% of total body surface area (TBSA) burned. - ️️What are the total fluid requirements over the first 24 hours? 12,960 mlHow many milliliters should be administered in the first 8 hours? 6,480 ml At what rate is in ml/hour? 810 ml/hour How many ml/hour should be administered in the next 16 hours? 405 ml/hour A client arrives at the emergency room (ER) with burns covering 40% of total body surface area (TBSA). Place the actions in the correct order for the emergency management of this client. - ️️1. Remove the patient 2. Establish and maintain 3. Establish an IV 4. Administer isotonic fluids 5. Assess for other In the emergency department (ED), the nurse continuously monitors the client. Which finding is the most concerning? - ️️Angioedema of the upper airway The nurse must monitor laboratory values throughout the emergent and acute phases of burn management. Which laboratory values does the nurse anticipate in the emergent phase versus the acute phase? - ️️Emergent Phase Urine specific gravity 1.040 Serum potassium 6.5 mEq/L Serum sodium 130 mEq/L Serum albumin 2.8 g/L Acute Phase Hematocrit 42% Serum potassium 3.8 mEq/L Urine-specific gravity 1.018 1.The client has burns to his face, anterior neck, anterior trunk, entire left arm, and anterior right arm. Using the Rule of Nines, the percent of total body surface area (TBSA) burned is approximately 2.Fluid replacement is calculated for the client using the Parkland Formula. The client weighs 240 lbs. The client should receive 3.The nurse should program the infusion pump for - ️️1. 36% 2. 7,855 3. 982After oral intubation and beginning fluid resuscitation, the client is transferred to the burn unit. Select the appropriate actions to care for Mr. McDowell during the emergent phase of burn management. Select all that apply. - ️️*Use sequential compression devices to lower extremities. *Administer high-calorie, high-protein enteral tube feedings. *Establish a method of communication. *Keep the room warm. *Continuously monitor oxygen saturation *Monitor weight daily. Mr. McDowell is extubated as the edema subsides, but he is withdrawn and seems depressed. He declines to participate in self-care activities or visitation from friends. What is the best approach to help the client with body image issues? - ️️Encourage the client to talk about fears regarding disfigurement and loss of function. During the acute phase of burn management, a client is at risk for complications. Which complications could be acquired during this phase? Select all that apply. - ️️Elevated white blood cell count Gastrointestinal bleeding Hyperglycemia The nurse continues to care for Mr. McDowell in the emergent phase of burn management. Which problems are the highest priority? Select the top four priority problems and place them in order of priority. - ️️Airway management Estimate total body surface area (TBSA) burned Fluid resuscitation Pain management Which assessment findings place the client at risk for an inhalation injury? Select all that apply. - ️️Hoarseness Dysphagia Blisters on face, neck Blurry vision Singed nasal hai