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Med Surg Ch 55 Questions And And Answers With Verified Solutions Already Passed!!!
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Med Surg Ch 55 Questions And AndAnswers With Verified Solutions Already
Passed!!!
The nurse is at the scene of a fire caring for a patient with a thermal burn on the
face, chest, and abdomen. What action should the nurse perform first?
a. Ensure an open airway.
b. Cover the burns with sterile dressings.
c. Wash the burn gently with dilute antiseptic.
d. Pour cool, clean water over the burned areas. - ANSWER✔✔A
The nurse is caring for a patient with burns covering the entire surface of both arms
and the anterior trunk. Approximately what percentage of the patients body surface
area has been affected?
a. 18%
b. 27%
c. 36%
d. 45% - ANSWER✔✔C
The nurse is caring for a patient in the initial phase of treatment for a partial-
thickness burn. The patient has been stabilized, with blood pressure 140/88 mm
Hg, pulse 78 beats/min, respirations 22 breaths/min, and temperature 97.4F
(36.3C). Which new assessment finding should be immediately communicated to
the health care provider (HCP)?
a. Report of increasing pain
b. Temperature 99F (37.2C)
c. Serum-filled blister formation
d. Blood pressure 122/74 mm Hg - ANSWER✔✔D
The nurse is caring for a patient who is 2 days post-inhalation burn injury from a
house fire. Which outcome best indicates that nursing interventions for impaired
gas exchange have been effective?
a. PaCO2 is 56 mm Hg.
b. The patient is afebrile.
c. The patient is alert and oriented.
d. Peripheral pulses are present and strong. - ANSWER✔✔C
, A patient is having a surgical procedure done to promote peripheral tissue
perfusion in an extremity with full-thickness circumferential burns. What term
should the nurse use to document this procedure?
a. Excision
b. Skin graft
c. Dbridement
d. Escharotomy - ANSWER✔✔D
The nurse is caring for a patient who is receiving fluid replacement after being
burned on 37% of the body. Nursing assessment reveals a blood pressure of 80/60
mm Hg, heart rate of 120 beats/min, and urine output of 10 mL over the past hour.
After reporting these findings, which order should the nurse expect to be
prescribed for this patient?
a. Discontinue the IV fluid infusion.
b. Change the IV fluid to dextrose and water.
c. Increase the amount of IV fluid administered per hour.
d. Decrease the amount of IV fluid administered per hour. - ANSWER✔✔C
The nurse is providing wound care to a patients skin graft donor sites used for burn
treatment. For which type of wound is this nurse providing care?
a. Skin tear
b. Full thickness
c. Split thickness
d. Partial thickness - ANSWER✔✔D
The nurse is caring for a patient admitted to the burn unit with burns to 45% of the
body. After 3 days, the nurse notes that the patients temperature is newly elevated
at 100.2F (37.9C), and the patient exhibits new- onset agitation and confusion.
What should the nurse do first?
a. Increase oral fluids to 3000 mL/day.
b. Notify the registered nurse (RN) or primary care provider.
c. Monitor the patient for further changes in mental status.
d. Administer a prn dose of acetaminophen (Tylenol) for the fever. -
ANSWER✔✔B
A patient is admitted to the emergency department with chemical burns to the chest
and abdomen. The RN immediately begins a sterile saline lavage. What should the
licensed practical nurse (LPN) do to assist during this procedure?
a. Apply a neutralizing agent.
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