Burn Nclex Questions - Pedes PDF

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Ramapo College of NJ Generic BSN Program NURS 450 Burn NCLEX Questions 1. The nurse is planning care for a patient with partial and full-thickness skin destruction related to burn injury of the lower extremities. Which of the following interventions would the nurse expect to include in this patient’s care (select all that apply)? A. Escharotomy B. Administration of diuretics C. IV and oral analgesia D. Daily cleansing and debridement 2. The nurse is caring for a patient with partial- and full-thickness burns to 50% of the body. Once the patient is able to tolerate a diet, when planning nutritional interventions for this patient, the nurse would recommend which of the following dietary choices as a snack? A. Glass of milk B. Peanut butter and jelly sándwich C. Cup of Cappuchino with cream D. Hot chicken broth and crackers

3. A patient is admitted to the emergency department with superficial and partial thickness burns after being involved in a house fire. Which of the following assessment findings would alert you to the presence of an inhalation injury (select all that apply)? A. Generalized pallor B. Singed nasal hair C. Painful swallowing D. Burns on chest E. Being rescued from a large house fire 4 When caring for a patient with an electrical burn injury who was just admitted to a burn unit, the nurse should question a health care provider’s order for A. B. C. D.

Mannitol 75 Gm IV Urine for myoglobin Lactated Ringers at 75 ml/hr Continuous cardiac monitoring

5. A patient is brought to the ED at 8:00 AM with superficial and partial thickness burns covering the entire right upper and lower extremity, Using the rule of nines, the nurse would calculate the extent of these burns as being A. B. C. D.

9% 18% 27% 36%

6. The patient above is given fluid resuscitation based on the Parkland formula. The patient weighs 63 kg. The nurse intitiates IV therapy. What rate should the nurse set the IV pump for the first 8 hours? A. B. C. D.

325 ml/hr 375 ml/hr 425 ml/hr 475 ml/hr

7. Mary Jones a 60-year-old woman is admitted to the ED with burns sustained when her gas furnace exploded when she was relighting a pilot light. She is awake and oriented but very agitated and frightened and cannot remember the accident. She is having severe pain in her face and upper chest. She also is shivering and complains of being cold, and her voice is raspy. Her hair and eyebrows are singed, and she has mixed areas of red, fluid-filled vesicles and waxy, white skin involving her face, anterior neck, all of her right arm, dorsal aspect of her left arm, and anterior chest and abdomen. Her heart rate is 132 beats/min, respiratory rate is 36 breaths/min, and a thigh blood pressure is 110/52 mm Hg. Her past medical history is positive for a myocardial infarction at age 50 with resultant chronic heart failure. Her current medications are as follows: quinapril (Accupril) 20 mg daily, furosemide (Lasix) 20 mg daily, and pravastatin (Pravachol) 40 mg daily. Her estimated weight is 70 kg. In the emergency department, the nurse carefully assesses PB. Which finding would be of most concern? A. Urine output 34 ml in the last hour B. Edema formation in the upper airway C. Pulmonary embolism resulting from inhalation therapy D. Development of hypothermia resulting from fluid evaporation

8. As fluid therapy is being initiated you monitor the condition closely. The nurse prioritizes assessment for which complication during this period? A. B. C. D.

Infections Contractures Pulmonary edema Compartment syndrome

9. Mary rapidly develops edema in burned and non-burned areas. You realize that her edema: A. results from hypervolemia from fluid replacement therapy B. may lead to hypovolemic shock as a result of intravascular fluid depletion C. is an indication of renal ischemia and acute tubular necrosis caused by sludging D. is caused by decreased hydrostatic pressure resulting in fluid retention in the vasculature.

10. After starting fluid replacement, the MD intubates her with an orotracheal tube. She is transferred to the burn unit where an arterial line and NGT are placed. Her face burns will be treated with the open method and the remainder of her burns will be treated with impregnated sterile gauze dressings. Select the appropriate interventions during the emergent phase. A. Elevate her arms on pillows in a flexed position B. Assess BP with a thigh cuff q 1H C. Monitor weight daily D. Initiate AROM and PROM in her arms and neck E. Place pillows under her head for comfort F. Establish a method of communication for PB to express her needs G. Use sterile gloves to apply topical antimicrobial agents to the wounds H. Administer high calorie, high protein enteral tube feedings I. Administer IV pain medication 1-2 hours prior to dressing changes J. Monitor urinary output q8H K. Instill artificial tears as needed L. Wear a disposable gown, mask and gloves when providing direct patient care. M. Monitor metal status and pulmonary function q 1-2 Hours N. Apply sequential compression devices (SCDs) to lower extremities O. Keep the room temperature at 80 degrees

11. During the emergent phase when Mary is intubated, she becomes anxious and agitated and groping around with her arms. You may relieve her distress by: A. B. C. D.

administering her ordered analgesic explaining to her she will be able to see when the edema subsides providing her with a pen and paper to be able to write her needs giving her a familiar object to hold

12. The nurse is working with a nursing assistant. Which activity is best delegated to the nursing assistant? Select all that apply. A. Empty and record hourly output B. Assess level of pain and need for analgesia C. Reapply SCD following Mary’s bath D. Administer subcutaneous insulin based on her capillary blood glucose

13. Mary’s endotracheal tube is removed but she is withdrawn and refuses to participate in self-care. She tells you that she would rather die than look like she does. An appropriate approach for you to help her deal with her grieving is to: A. Encourage her to talk about her fears of disfigurement and loss of function B. Assure her that as her wounds heal, she will have little or no scarring or deformity C. Encourage her family to visit frequently and tell her that her appearance isn’t important D. Explain that if she doesn’t perform the prescribed treatment her deformities will worsen....