Nursing Pharmacology- Med Surg III _TG
Actual Exam Questions
With Reviewed 100%
Correct Detailed Answers & Rationales
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Management of Patients with Burn Injury
, Management of Patients with Burn Injury
1. An emergency department nurse learns from the paramedics that the team is
transporting a client who has suffered injury from a scald from a hot kettle. What
variables will the nurse consider when determining the depth of burn?
A. The causative agent
B. The client's pre-injury health status
C. The client's prognosis for recovery
D. The circumstances of the accident ANS: A
Rationale: The following factors are considered in determining the depth of a burn:
how the injury occurred, causative agent (such as flame or scalding liquid),
temperature of the burning agent, duration of contact with the agent, and thickness of
the skin. The client's pre-injury status, circumstances of the accident, and prognosis
for recovery are important, but are not considered when determining the depth of the
burn.
PTS: 1 REF: p. 1868
NAT: Client Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 57: Management of Clients with Burn Injury
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
NOT: Multiple Choice
2. A nurse is caring for a client who has sustained a deep partial-thickness burn
injury. In prioritizing the nursing diagnoses for the plan of care, the nurse will give the
highest priority to what nursing diagnosis?
A. Activity intolerance
B. Anxiety
C. Ineffective coping
D. Acute pain
ANS: D
Rationale: Pain is inevitable during recovery from any burn injury. Pain in the burn
client has been described as one of the most severe types of acute pain. Management
of the often-severe pain is one of the most difficult challenges facing the burn team.
, While the other nursing diagnoses listed are valid, the presence of pain may contribute
to these diagnoses. Management of the client's pain is the priority, as it may have a
direct correlation to the other listed nursing diagnoses.
PTS: 1 REF: p. 1884
NAT: Client Needs: Physiological Integrity: Reduction of Risk Potential
TOP: Chapter 57: Management of Clients with Burn Injury
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
NOT: Multiple Choice
3. A triage nurse in the emergency department (ED) receives a phone call from a
frantic parent who saw their 4-year-old child tip a pot of boiling water onto
themselves. The parent has called an ambulance. What should the nurse in the ED
receiving the call instruct the parent to do?
A. Cover the burn with ice and secure with a towel.
B. Apply butter to the area that is burned.
C. Immerse the child in a cool bath.
D. Avoid touching the burned area under any circumstances.
ANS: C
Rationale: After the flames or heat source have been removed or extinguished, the
burned area and adherent clothing are soaked with cool water briefly to cool the
wound and halt the burning process. Cool water is the best first-aid measure. Ice and
butter are contraindicated. Appropriate first aid necessitates touching the burn.
PTS: 1 REF: p. 1874
NAT: Client Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 57: Management of Clients with Burn Injury
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Apply
NOT: Multiple Choice
4. A nurse is teaching a client with a partial-thickness wound how to wear the elastic
pressure garment. How often should the nurse instruct the client to wear this garment?
A. 4 to 6 hours a day for 6 months
B. During waking hours for 2 to 3 months after the injury
Actual Exam Questions
With Reviewed 100%
Correct Detailed Answers & Rationales
Guaranteed Pass!!
Management of Patients with Burn Injury
, Management of Patients with Burn Injury
1. An emergency department nurse learns from the paramedics that the team is
transporting a client who has suffered injury from a scald from a hot kettle. What
variables will the nurse consider when determining the depth of burn?
A. The causative agent
B. The client's pre-injury health status
C. The client's prognosis for recovery
D. The circumstances of the accident ANS: A
Rationale: The following factors are considered in determining the depth of a burn:
how the injury occurred, causative agent (such as flame or scalding liquid),
temperature of the burning agent, duration of contact with the agent, and thickness of
the skin. The client's pre-injury status, circumstances of the accident, and prognosis
for recovery are important, but are not considered when determining the depth of the
burn.
PTS: 1 REF: p. 1868
NAT: Client Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 57: Management of Clients with Burn Injury
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
NOT: Multiple Choice
2. A nurse is caring for a client who has sustained a deep partial-thickness burn
injury. In prioritizing the nursing diagnoses for the plan of care, the nurse will give the
highest priority to what nursing diagnosis?
A. Activity intolerance
B. Anxiety
C. Ineffective coping
D. Acute pain
ANS: D
Rationale: Pain is inevitable during recovery from any burn injury. Pain in the burn
client has been described as one of the most severe types of acute pain. Management
of the often-severe pain is one of the most difficult challenges facing the burn team.
, While the other nursing diagnoses listed are valid, the presence of pain may contribute
to these diagnoses. Management of the client's pain is the priority, as it may have a
direct correlation to the other listed nursing diagnoses.
PTS: 1 REF: p. 1884
NAT: Client Needs: Physiological Integrity: Reduction of Risk Potential
TOP: Chapter 57: Management of Clients with Burn Injury
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Apply
NOT: Multiple Choice
3. A triage nurse in the emergency department (ED) receives a phone call from a
frantic parent who saw their 4-year-old child tip a pot of boiling water onto
themselves. The parent has called an ambulance. What should the nurse in the ED
receiving the call instruct the parent to do?
A. Cover the burn with ice and secure with a towel.
B. Apply butter to the area that is burned.
C. Immerse the child in a cool bath.
D. Avoid touching the burned area under any circumstances.
ANS: C
Rationale: After the flames or heat source have been removed or extinguished, the
burned area and adherent clothing are soaked with cool water briefly to cool the
wound and halt the burning process. Cool water is the best first-aid measure. Ice and
butter are contraindicated. Appropriate first aid necessitates touching the burn.
PTS: 1 REF: p. 1874
NAT: Client Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 57: Management of Clients with Burn Injury
KEY: Integrated Process: Teaching/Learning BLM: Cognitive Level: Apply
NOT: Multiple Choice
4. A nurse is teaching a client with a partial-thickness wound how to wear the elastic
pressure garment. How often should the nurse instruct the client to wear this garment?
A. 4 to 6 hours a day for 6 months
B. During waking hours for 2 to 3 months after the injury
