Which topical medication for burn injury is the best for using on the face and around the eyes?

Bacitracin

Mafenide acetate

Silver sulfadiazine

Mepilex

Bacitracin

Which statement is true regarding the Lund and Browder method to determine the percentage of total body surface area burned?

It is mostly used in prehospital settings.

It is used for superficial, partial, and full thickness burns.

It takes into consideration the patient’s hand as well as the fingers.

It requires thorough burn wound debridement.

It requires thorough burn wound debridement.

The healthcare team is caring for patients with burns in a mass casualty scene. Which method used by the healthcare team is most appropriate to determine the total body surface area (TBSA) percentage of burns of different patients in this situation?

Rule of nines

Rule of palm

Parkland method

Lund and Browder methodNext

Rule of palm

Which statement about deep partial thickness burns is correct?

It only affects the epidermal layer of the skin.

This kind of burn resolves in 24 to 72 hours.

It may cause pain in various areas with decreased sensation.

It is often referred to as eschar.

It may cause pain in various areas with decreased sensation.

Which abnormal laboratory finding would the nurse anticipate for a patient experiencing the early stages of burn shock after an electrical burn?

Decreased hematocrit

Hypokalemia

Increased hemoglobin

Hypernatremia

Increased hemoglobin

Which intervention would be included in the primary survey assessment of a patient diagnosed with a burn injury in the emergent phase? Select all that apply.

Provide oxygen via nasal cannula

Place a pillow under the patient’s head

Insert two large bore IV catheters

Prepare for intubation

Immobilize the patient’s C-spineNext

Insert two large bore IV catheters

Prepare for intubation

Immobilize the patient’s C-spineNext

A patient has a superficial partial-thickness burn. Which healing period would the nurse expect for this kind of burn?

3 to 7 days with no scarring

7 to 14 days with no scarring

3 to 6 weeks with some scarring

Will not heal without excision and grafting

7 to 14 days with no scarring

The nurse is caring for a patient diagnosed with a burn injury who reports pain with ambulation. Which type of pain would the nurse document?

Background pain

Procedural pain

Breakthrough pain

Phantom limb pain

Breakthrough pain

The nurse is teaching a group of nursing students about types of burns. Which example would the nurse provide for a chemical burn?

Burn caused by gasoline

Burn caused while cooking

Burn caused by ionizing radiation

Burn caused by overheard power lines

Burn caused by gasoline

The nurse is teaching about care considerations for patients with the type of burn in this image. Which statement by the patient indicates successful teaching?

“I need to make sure I drink a lot of water to rehydrate.”

“I can apply my favorite scented lotion to the burn twice a day.”

“Ice should be applied immediately to the burn.”

“I will change the dressing on the burn at least once per day.”

“I need to make sure I drink a lot of water to rehydrate.”

While assessing an injured patient’s condition, the nurse suspects that the patient has an inhalation injury. Which clinical finding is likely responsible for the nurse’s suspicion? Select all that apply.

Facial burns

Singed facial hair

Bradypnea

Carbon in the sputum

Erythema on the arms and legs

Facial burns

Singed facial hair

Carbon in the sputum

A healthy 75-year-old patient is admitted to the hospital with thermal burns. The weight of the patient is 154 lbs and the total body surface are (TBSA) of the burns is 30%. Based on the Advanced Burned Life Support (ABLS) guidelines, how much fluid resuscitation (in mL) is required? Record the answer using a whole number. Enter numeral only.

70kgx30%x2ml=4,200 mL

4,200 mL

Which clinical manifestation is most likely to be observed in a patient with 15% carbon monoxide poisoning?

Tachypnea and tachycardia

Disorientation and nausea

Mild headache and confusion

Severe headache and vision changes

Severe headache and vision changes

A patient reports a history of burn injury and states a skin graft was performed “using some of my own skin from another part of my body.” Which type of skin graft would the nurse document?

Autograft

Dermal substitute

Allograft

Xenograft

Autograft

The nurse is teaching a patient about precautions to follow for the application of silver sulfadiazine. Which statement made by the patient indicates effective teaching? Select all that apply.

“I should avoid applying the medication around my mouth.”

“I should apply it one-fourth inch thick.”

“I should apply the cream around the eyes.”

“I should apply the cream and leave it open to air.”

“I should change the dressing every three to seven days.”

“I should avoid applying the medication around my mouth.”

“I should apply it one-fourth inch thick.”

Which burn injury zone has the most contact with the heat source and is the location of the most severe damage?

Zone of stasis

Zone of hyperemia

Zone of conversion

Zone of coagulation

Zone of coagulation

Which clinical manifestation in a patient with a burn injury likely indicates compartment syndrome? Select all that apply.

Numbness

Red-colored urine

Weak pulse

Pain with flexion

Urine output less than 1 mL/kg/hr

Numbness

Weak pulse

Pain with flexion

Calculate the fluid resuscitation required in the first 8 hours to a 35-year-old patient with 50% total body surface area (TBSA) burns from an electrical injury. The weight of the patient is 165 lbs., and the patient does not have any history of respiratory or cardiac conditions. Record your answer using a whole number. Enter numeral only.

7500

Which diagnostic test is most appropriate to use in a patient with electrical burn injuries?

Chest x-ray

Creatine kinase-myocardial band (CK-MB)

Arterial blood gases

Radiographic examination

Creatine kinase-myocardial band (CK-MB)

Which type of chemical causes the coagulation of proteins and a full-thickness burn injury due to the release of hydrogen ions that reduces pH to less than 0?

Gasoline

Wet cement

Bathroom cleaners

Heavy industrial cleaners

Bathroom cleaners

An older adult patient has a full-thickness burn injury on the forearm and is not an appropriate candidate for a grafting surgery. Which topical medication would the nurse anticipate being ordered?

Enzymatic cream

Which burn injury zone has the most contact with the heat source and is the location of the most severe damage?

Zone of stasis

Zone of hyperemia

Zone of conversion

Zone of coagulation

Zone of coagulation

Which statement about deep partial thickness burns is correct?

It only affects the epidermal layer of the skin.

This kind of burn resolves in 24 to 72 hours.

It may cause pain in various areas with decreased sensation.

It is often referred to as eschar.

It may cause pain in various areas with decreased sensation.

A patient has a superficial partial-thickness burn. Which healing period would the nurse expect for this kind of burn?

3 to 7 days with no scarring

7 to 14 days with no scarring

3 to 6 weeks with some scarring

Will not heal without excision and graftingNext

7 to 14 days with no scarring

Which assessment finding would the nurse anticipate when caring for a patient diagnosed with a full-thickness burn?

Mild skin erythema

Severe pain

Waxy skin appearance

Dry, leathery skin

Dry, leathery skin

The emergency room nurse is caring for a patient diagnosed with a forearm burn who states, “The pot of water on my stove boiled over and spilled onto my arm.” Which type of burn injury would the nurse document?

Thermal

Electrical

Chemical

Radiation

Thermal

The healthcare provider ordered fluid resuscitation for a patient with an electrical injury. Which observed finding indicates that the fluid resuscitation was effective? Select all that apply.

Urine output: 1 mL/kg/hr

Systolic blood pressure: 110 mm Hg

Heart rate: 100 beats per minute

Central venous pressure: 3 mm Hg

Bladder pressure: 12 mm Hg

Urine output: 1 mL/kg/hr

Systolic blood pressure: 110 mm Hg

Heart rate: 100 beats per minute

Which medication is used for pain management in patients with burns? Select all that apply.

Haloperidol

Hydromorphone

Lorazepam

Fentanyl

Morphine sulfate

Hydromorphone

Fentanyl

Morphine sulfate

Which statement is true regarding the Lund and Browder method to determine the percentage of total body surface area burned?

It is mostly used in prehospital settings.

It is used for superficial, partial, and full thickness burns.

It takes into consideration the patient’s hand as well as the fingers.

It requires thorough burn wound debridement.

It requires thorough burn wound debridement.

The student nurse is learning about burns. Which statement is true regarding radiation burns?

Radiation burns are the most common type of burn injury.

Localized radiation injuries are similar in nature to electrical burns.

Short-term exposure to ionizing radiation causes nausea, vomiting, and diarrhea.

Sunburn is the most common type of radiation burn observed in healthcare settings.

Sunburn is the most common type of radiation burn observed in healthcare settings.

The nurse is teaching a patient with partial thickness burns about the care considerations for managing the burns. Which statement made by the patient indicates successful teaching?

“I should apply a Bacitracin ointment and cover with nonadherent bandage.”

Which characteristic of older adults would make it more difficult to effectively treat a burn injury?

Decreased immune system

The healthcare team is caring for a patient with the burn injuries in the image.which medication is the healthcare provider most likely to prescribe to promote venous return and prevent thromboembolism?

Enoxaparin

A patient was admitted to the hospital with superficial burns.which clinical manifestation is likely to be observed in the patient . Select all that apply?

Mild erythema

hypersensitivity

Which type of graft is used as a temporary covering once eschar is removed to help close and protect the wound?

Xenograft

The nurse cares for a patient with a new burn injury.which finding is the priority concern?

Breathing

Which is the likely cause for the development of hyperkalemia in the emergent phase of burn injury?

Massive cellular trauma

The nurse is teaching a patient community group about at home burn prevention strategies.which statement made by someone in the group indicates that the teaching was successful?

“Smoke alarm batteries should be changed every six months .”