In which order will the nurse take these actions when doing a dressing change for a ...

In which order will the nurse take these actions when doing a dressing change for a partial-thickness burn wound on a patient's chest? (Put a comma and a space between each answer choice A, B, C, D, E.)
 
  a. Apply sterile gauze dressing.
  b. Document wound appearance.
  c. Apply silver sulfadiazine cream.
  d. Administer IV fentanyl (Sublimaze).
  e. Clean wound with saline-soaked gauze.

Question 2

The nurse estimates the extent of a burn using the rule of nines for a patient who has been admitted with deep partial-thickness burns of the anterior trunk and the entire left arm.
 
  What percentage of the patient's total body surface area (TBSA) has been injured?
  What will be an ideal response?

Question 3

A young adult patient who is in the rehabilitation phase 6 months after a severe face and neck burn tells the nurse, I'm sorry that I'm still alive. My life will never be normal again. Which response by the nurse is best?
 
  a. Most people recover after a burn and feel satisfied with their lives.
  b. It's true that your life may be different. What concerns you the most?
  c. It is really too early to know how much your life will be changed by the burn.
  d. Why do you feel that way? You will be able to adapt as your recovery progresses.

Question 4

An 80-kg patient with burns over 30 of total body surface area (TBSA) is admitted to the burn unit.
 
  Using the Parkland formula of 4 mL/kg/TBSA, what is the IV infusion rate (mL/hour) for lactated Ringer's solution that the nurse will administer during the first 8 hours?
  What will be an ideal response?

Question 5

Which nursing action is a priority for a patient who has suffered a burn injury while working on an electrical power line?
 
  a. Obtain the blood pressure.
  b. Stabilize the cervical spine.
  c. Assess for the contact points.
  d. Check alertness and orientation.

Question 6

Which action will the nurse include in the plan of care for a patient in the rehabilitation phase after a burn injury to the right arm and chest?
 
  a. Keep the right arm in a position of comfort.
  b. Avoid the use of sustained-release narcotics.
  c. Teach about the purpose of tetanus immunization.
  d. Apply water-based cream to burned areas frequently.