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a 35 y/o pt has superficial partial thickness burns to the right anterior arm, posterior left
leg, and anterior head and neck. using the rule of nines, calculate the total BSA that is
burned?
a. 29%
b. 36%
c. 18%
d. 9% - CORRECT ANSWER: c. 18%
a 68 y/o pt has partial thickness burns to the front and back of the right and left leg, front
of right arm, and anterior trunk. using the rule of nines, calculate the TBSA burned.
a. 58.8%
b. 40.5%
c. 49.5%
d. 67.5% - CORRECT ANSWER: a. 58.8%
a 70 y/o pt with malnourishment and a history of DM2 is admitted from the nursing
home with pneumonia and tachypnea. which kind of shock is the pt most likely
developing?
a. septic
b. anaphylactic
c. neurogenic
d. cardiogenic - CORRECT ANSWER: a. septic
, a nurse is caring for a pt admitted to the ER with extensive partial and full thickness
burns of the head, neck, and chest. while planning the pt's care, the nurse should be
aware that initially, the pt is at greatest risk for which of the following?
a. infection
b. airway obstruction
c. fluid imbalance
d. paralytic ileus - CORRECT ANSWER: b. airway obstruction
a pt admitted to the ER with burns covering 45% of the TBSA requires aggressive fluid
resuscitation. what is the anticipated duration for fluid resuscitation interventions?
a. 72 hr
b. 48 hr
c. 12 hr
d. 24 hr - CORRECT ANSWER: d. 24 hr
a pt arrives in the ER with facial and chest burns caused by a house fire. which action
should the nurse take first?
a. give the prescribed hydromorphone
b. auscultate the lung sounds
c. infuse the prescribed LR
d. determine the extent and depth of burns - CORRECT ANSWER: b. auscultate the
lung sounds
a pt has 20% TBSA deep partial thickness and full thickness burn to the right anterior
chest and entire right arm. what is the most important for a nurse in this pt?
a. formation eschar
b. swelling of the arm
c. presence of pain
d. presence of pulse in the arm - CORRECT ANSWER: d. presence of pulse in the arm