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MS3 EXAM 3 STUDY QUESTIONS
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MS3 EXAM 3 STUDY QUESTIONS
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MS3 EXAM 3 STUDY QUESTIONSA victim of a house fire is brought to the emergency department for burn treatment.
What assessment finding indicates that the patient may have an inhalation injury?
1) Coughing
2) Soot on the face
3) Singed facial hair
4) Heart rate 98 bpm
3) Singed facial hair
The nurse is caring for a patient with 50% total body surface area burns. Which finding
indicates that burn shock is resolving?
1) Heart rate 112 bpm
2) Respirations 24 per minute
3) Blood pressure 90/60 mm Hg
4) Urine output 800 mL over 2 hours
4) Urine output 800 mL over 2 hours
A patient is admitted for a suspected inhalation injury. What should the nurse emphasize
when caring for this patient?
1) Increase oral fluids
2) Turn in bed every two hours
3) Monitor strict intake and output
4) Deep breathing and coughing every hour
4) Deep breathing and coughing every hour
The nurse is caring for a patient who sustained electrical burns. Why should the nurse
monitor this patient for compartment syndrome?
1) Potential for undiagnosed injuries
2) Injuries from being thrown bruise soft tissue
3) Electrical current alters integrity of blood vessels
4) Fluid seeps from intravascular spaces into the interstitium
4) Fluid seeps from intravascular spaces into the interstitium
A patient with 55% total body surface area burned received two-thirds of the required
fluid resuscitation. For which potential problem should the nurse prepare to provide care
to this patient?
1) Increased zone of stasis
2) Increased zone of hyperemia
,3) Increased zone of coagulation
4) Decreased zone of coagulation
3) Increased zone of coagulation
A patient comes into the emergency room seeking treatment for radiation burns. What
should be considered prior to providing care to this patient?
1) Pathway of flow through the body
2) Duration of contact with the agent
3) Type, dose, and length of exposure
4) Temperature to which the skin is heated
3) Type, dose, and length of exposure
It is documented that a patient has superficial partial-thickness burns over both anterior
lower arms. What should the nurse expect when assessing this patient?
1) Dry with no blisters
2) Waxy appearance and cherry red in color
3) Dry leathery appearance and pale or brown in color
4) Open or closed blisters, mild edema, easily blanches
4) Open or closed blisters, mild edema, easily blanches
A patient has full-thickness burns over 30% of total body surface area. Which
intervention will least likely provide comfort initially to this patient?
1) Elevate injured extremities
2) Medicate for pain around the clock
3) Apply medicated ointment to all areas
4) Elevate the head of the bed 30 degrees
2) Medicate for pain around the clock
A patient recovering from deep and full thickness burns is nauseated. Which medication
should the nurse provide to help this patient?
1) Ranitidine (Zantac)
2) Esomeprazole (Nexium)
3) Metoclopramide (Reglan)
4) Polyethylene glycol (Miralax)
3) Metoclopramide (Reglan)
The nurse is caring for a patient with 70% total body surface area chemical burns.
Which approach should the nurse anticipate to meet this patient's nutritional needs?
1) Parenteral nutrition
2) Duodenal tube feedings
3) Nasogastric tube feedings
4) Six small high-calorie meals per day
, 2) Duodenal tube feedings
A patient recovering from 25% total body surface area burns has a low-grade fever.
What should the nurse do to reduce this patient's risk of developing an infection?
1) Follow contact precautions
2) Implement protective isolation
3) Use sterile technique for all dressing changes
4) Administer prophylactic antibiotics as prescribed
1) Follow contact precautions
A patient is ending the first year of recovery after having burns to both legs. Which
observation indicates that the patient needs to be encouraged to wear the pressure
garment?
1) Skin warm and moist
2) Pedal pulses present but faint
3) Scattered areas of scarring noted
4) Nonpitting edema of both ankles
3) Scattered areas of scarring noted
A patient is diagnosed with several superficial partial-thickness burns. What treatment
would be indicated for this patient? Select all that apply.
1) Apply bacitracin ointment
2) Cover with a nonadherent bandage
3) Apply mafenide acetate 10% cream
4) Wash with antiseptic soap and warm water
5) Apply collagenase and cover with roll gauze
1) Apply bacitracin ointment
2) Cover with a nonadherent bandage
4) Wash with antiseptic soap and warm water
A patient has been recovering for 18 months from burns that affected 60% total body
surface area. For which problems should the nurse anticipate providing continuing care
to this patient? Select all that apply.
1) Anxiety
2) Depression
3) Spiritual distress
4) Body image disorder
5) Post-traumatic stress disorder (PTSD)
1) Anxiety
2) Depression
4) Body image disorder
5) Post-traumatic stress disorder (PTSD)
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