ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 62 : Managements of Patients with Burn Injury Questions
Question 1 of 5
A patient is brought to the ED by paramedics, who report that the patient has partial-thickness burns on the chest and legs. The patient has also suffered smoke inhalation. What is the priority in the care of a patient who has been burned and suffered smoke inhalation?
Correct Answer: D
Rationale: Airway management is the priority due to the risk of obstruction from smoke inhalation-induced edema, following the ABCs of trauma care. Pain, fluid balance, and anxiety are secondary.
Question 2 of 5
A patient arrives in the emergency department after being burned in a house fire. The patients burns cover the face and the left forearm. What extent of burns does the patient most likely have?
Correct Answer: D
Rationale: Using the Rule of Nines, the face accounts for 9% and the left forearm 9%, totaling 18% TBSA.
Question 3 of 5
A nurse is caring for a patient in the emergent/resuscitative phase of burn injury. During this phase, the nurse should monitor for evidence of what alteration in laboratory values?
Correct Answer: A
Rationale: Sodium deficit (hyponatremia) occurs in the emergent phase due to sodium loss in edema fluid. Potassium is elevated, hematocrit increases, and PT is not typically decreased.
Question 4 of 5
A nurse is developing a care plan for a patient with a partial-thickness burn, and determines that an appropriate goal is to maintain position of joints in alignment. What is the best rationale for this intervention?
Correct Answer: C
Rationale: Maintaining joint alignment prevents contractures, a common complication of burns due to tissue shortening. It does not primarily prevent neuropathies, wound breakdown, or ossification.
Question 5 of 5
A patients burns have required a homograft. During the nurses most recent assessment, the nurse observes that the graft is newly covered with purulent exudate. What is the nurses most appropriate response?
Correct Answer: B
Rationale: Purulent exudate indicates possible graft infection, necessitating prompt provider notification for potential graft removal. Debridement or exercises are inappropriate, and infection is not an expected healing phase.