SOLUTIONS GRADED A+
◉ A nurse is caring for a client who has burn injuries on his trunk. The
nurse is explaining what to expect from the prescribed hydrotherapy
Which of the following statements by the client indicates an
understanding of the teaching?
a. "I will be on a special shower table."
b. "The water temperature will be very cool to ease my pain."
c. "The nurse will use a firm-bristled brush to remove loose skin."
d. "The nurse will use scissors to open small blisters.". Answer: a. "I will
be on a special shower table."
the special shower table facilitates examination and debridement of the
wound during hydrotherapy. an advantage of using the showering
technique as opposed to a tub bath is that the water can be kept at a
constant temperature; there is also a lower risk of wound infection.
◉ A nurse is caring for a client who has a prescription for silver
sulfadiazine cream to be applied to her burn wounds. The nurse should
evaluate the client for which of the following laboratory findings?
a. hyponatremia
, b. leukopenia
c. hyperchloremia
d. elevated BUN. Answer: b. leukopenia
transient leukopenia is an adverse effect of silver sulfadiazine
◉ A nurse in an emergency department is assessing a client who has
extensive burns, including on her face. Which of the following
assessments should the nurse perform first?
a. estimation of burn injury
b. characteristics of the cough and sputum
c. extent of peripheral edema
d. amount of urine output. Answer: b. characteristics of the cough and
sputum
a client who has burns to the face is at risk for pulmonary injury, and the
development of a brassy cough can indicate an impending loss of airway
◉ a nurse is caring for a client who has full-thickness burns covering
63% of her body and smoke inhalation. Which of the following nursing
actions is the top priority?
a. monitor intake and output
b. administer antibiotics
c. monitor respiratory status