Biology Forums - Study Force

While the patient's fullthickness burn wounds to the face are exposed, what is the best nursing action to prevent cross contamination?
 
  a. Use sterile gloves when removing old dressings.
  b. Wear gowns, caps, masks, and gloves during all care of the patient.
  c. Administer IV antibiotics to prevent bacterial colonization of wounds.
  d. Turn the room temperature up to at least 70 F (20 C) during dressing changes.

Question 2

A patient with severe burns has crystalloid fluid replacement ordered using the Parkland formula. The initial volume of fluid to be administered in the first 24 hours is 30,000 mL. The initial rate of administration is 1875 mL/hr.
 
  After the first 8 hours, what rate should the nurse infuse the IV fluids?
  a. 350 mL/hour
  b. 523 mL/hour
  c. 938 mL/hour
  d. 1250 mL/hour

Question 3

During the emergent phase of burn care, which assessment will be most useful in determining whether the patient is receiving adequate fluid infusion?
 
  a. Check skin turgor.
  b. Monitor daily weight.
  c. Assess mucous membranes.
  d. Measure hourly urine output.

Question 4

A patient is admitted to the burn unit with burns to the head, face, and hands. Initially, wheezes are heard, but an hour later, the lung sounds are decreased and no wheezes are audible. What is the best action for the nurse to take?
 
  a. Encourage the patient to cough and auscultate the lungs again.
  b. Notify the health care provider and prepare for endotracheal intubation.
  c. Document the results and continue to monitor the patient's respiratory rate.
  d. Reposition the patient in high-Fowler's position and reassess breath sounds.

Question 5

On admission to the burn unit, a patient with an approximate 25 total body surface area (TBSA) burn has the following initial laboratory results: Hct 58, Hgb 18.2 mg/dL (172 g/L), serum K+ 4.9 mEq/L (4.8 mmol/L), and serum Na+ 135 mEq/L (135 mmol/L).
 
  Which action will the nurse anticipate taking now?
  a. Monitor urine output every 4 hours.
  b. Continue to monitor the laboratory results.
  c. Increase the rate of the ordered IV solution.
  d. Type and crossmatch for a blood transfusion.

Question 6

When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes that the skin is dry, pale, hard skin. The patient states that the burn is not painful. What term would the nurse use to document the burn depth?
 
  a. First-degree skin destruction
  b. Full-thickness skin destruction
  c. Deep partial-thickness skin destruction
  d. Superficial partial-thickness skin destruction

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