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Question 1 of 20
1. Question
In assessing the client’s potential for an inhalation injury as a result of a flame burn, what is the most important question to ask the client on admission?
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Question 2 of 20
2. Question
Which information obtained by assessment ensures that the client’s respiratory efforts are currently adequate?
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Question 3 of 20
3. Question
The nursing instructor is going over burn injuries. The instructor tells the students that the nursing care priorities for a patient with a burn injury include wound care, nutritional support, and prevention of complications such as infection. Based upon these care priorities, the instructor is most likely discussing a patient in what phase of burn care?
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Question 4 of 20
4. Question
The burned client’s family asks at what point the client will no longer be at increased risk for infection. What is the nurse’s best response?
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Question 5 of 20
5. Question
The burned client relates the following history of previous health problems. Which one should alert the nurse to the need for alteration of the fluid resuscitation plan?
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Question 6 of 20
6. Question
The burned client on admission is drooling and having difficulty swallowing. What is the nurse’s best first action?
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Question 7 of 20
7. Question
Which intervention is most important for the nurse to use to prevent infection by cross-contamination in the client who has open burn wounds?
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Question 8 of 20
8. Question
In reviewing the burned client’s laboratory report of white blood cell count with differential, all the following results are listed. Which laboratory finding indicates the possibility of sepsis?
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Question 9 of 20
9. Question
The client has a deep partial-thickness injury to the posterior neck. Which intervention is most important to use during the acute phase to prevent contractures associated with this injury?
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Question 10 of 20
10. Question
The client has severe burns around the right hip. Which position is most important to be emphasized by the nurse that the client maintains to retain maximum function of this joint?
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Question 11 of 20
11. Question
During the acute phase, the nurse applied gentamicin sulfate (topical antibiotic) to the burn before dressing the wound. The client has all the following manifestations. Which manifestation indicates that the client is having an adverse reaction to this topical agent?
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Question 12 of 20
12. Question
The client, who is 2 weeks postburn with a 40% deep partial-thickness injury, still has open wounds. On taking the morning vital signs, the client is found to have a below-normal temperature, is hypotensive, and has diarrhea. What is the nurse’s best action?
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Question 13 of 20
13. Question
Which intervention is most important to use to prevent infection by autocontamination in the burned client during the acute phase of recovery?
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Question 14 of 20
14. Question
When should ambulation be initiated in the client who has sustained a major burn?
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Question 15 of 20
15. Question
What statement by the client indicates the need for further discussion regarding the outcome of skin grafting (allografting) procedures?
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Question 16 of 20
16. Question
Which statement by the client indicates a correct understanding of rehabilitation after burn injury?
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Question 17 of 20
17. Question
Which statement made by the client with facial burns who has been prescribed to wear a facial mask pressure garment indicates a correct understanding of the purpose of this treatment?
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Question 18 of 20
18. Question
What is the priority nursing diagnosis for a client in the rehabilitative phase of recovery from a burn injury?
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Question 19 of 20
19. Question
Nurse Faith should recognize that fluid shift in a client with burn injury results from an increase in the:
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Question 20 of 20
20. Question
Louie, with burns over 35% of the body, complains of chilling. In promoting the client’s comfort, the nurse should:
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