ATI RN Medical Surgical Proctored Exam Nursing Management for Patients with Burn Injury

A client with deep partial-thickness and full-thickness burns on the arms receives autografts. Two days later, the nurse finds the client doing arm exercises. The nurse provides additional client teaching because these exercises may: 1- dislodge the autografts. 2- increase edema in the arms. 3- increase the amount of scarring. 4- decrease circulation to the fingers. 1 Which of the following is a true statement regarding the purposes of skin grafts? 1- Increases evaporative fluid loss. 2- Increases potential for infection. 3- Reduces scarring and contractures. 4- Prolongs recovery 3 The occupational health nurse is called to the floor of the factory where a patient has sustained a flash burn to the right arm. The nurse arrives and the flames have been extinguished. The next step is to "cool the burn." How should the nurse cool the burn? 1- Apply ice to the site of the burn for 5 to 10 minutes. 2- Wrap the patients affected extremity in ice until help arrives. 3- Apply an oil-based substance or butter to the burned area until help arrives. 4- Wrap cool towels around the affected extremity intermittently. 4 Which type of burn injury requires skin grafting? 1- Full-thickness 2- Superficial 3- Superficial partial-thickness 4- Deep partial-thickness 1 A client is scheduled for an allograft to a burn wound, and the client asks for an explanation. What information will the nurse include in the client teaching? 1- "An allograft is a temporary wound covering obtained from cadaver skin." 2- "An allograft is a permanent wound covering taken from a donor site in your body." 3- "An allograft is a temporary wound covering obtained from pig skin." 4- "An allograft is an expensive sheet of skin obtained from a culture." 1 A client has partial-thickness burns on both lower extremities and portions of the trunk. Which IV fluid does the nurse plan to administer first? 1- Albumin 2- Dextrose 5% in water (D5W) 3- Lactated Ringer's solution 4- Normal saline solution with 20 mEq of potassium per 1,000 ml 3 A client is brought to the emergency department with partial-thickness and full-thickness burns on the left arm, left anterior leg, and anterior trunk. Using the Rule of Nines, what is the total body surface area that has been burned? 1- 18% 2- 27% 3- 30% 4- 36% 4 Which term refers to a graft derived from one part of a client's body and used on another part of that same client's body? 1- Autograft 2- Allograft 3- Homograft 4- Heterograft 1 A client has burns to his anterior trunk and left arm. Using the Rule of the Nines, what is the TBSA burned? 1- 18% 2- 27% 3- 36% 4- 45% 2 A patient has a burn injury that has damaged the epidermis. There are no blisters, and the skin is pink in color. This type of burn injury would be documented as which of the following? 1- Superficial 2- Full-thickness 3- Superficial partial-thickness 4- Deep partial-thickness 1 A client has been burned significantly in a workplace accident. Which conditions create the need for intensive care by specifically trained personnel? 1- All options are correct. 2- fluid shift 3- fluid loss 4- hypotension 1