ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 26 Questions
Question 1 of 5
The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). Which instruction should the nurse provide to the LPN when assigning this client?
Correct Answer: D
Rationale: Infection can occur when microorganisms from another person or from the environment are transferred to the client. Although all of the interventions listed can help reduce the risk for infection, handwashing is the most effective technique for preventing infection transmission.
Question 2 of 5
The nurse is caring for a client with an acute burn injury. Which action should the nurse take to prevent infection by autocontamination?
Correct Answer: B
Rationale: Autocontamination is the transfer of microorganisms from one area to another area of the same clients body, causing infection of a previously uninfected area. Although all techniques listed can help reduce the risk for infection, only changing gloves between performing wound care on different parts of the clients body can prevent autocontamination.
Question 3 of 5
The nurse teaches burn prevention to a community group. Which statement by a member of the group should cause the nurse the greatest concern?
Correct Answer: C
Rationale: House fires are a common occurrence and often lead to serious injury or death. The nurse should be most concerned about a person who wakes up at night and smokes, as this could involve smoking in bed, which poses a significant fire risk if the person falls back asleep with a lighted cigarette.
Question 4 of 5
A nurse assesses a client who has a burn injury. Which statement indicates the client has a positive perspective of his or her appearance?
Correct Answer: C
Rationale: Indicators that the client with a burn injury has a positive perception of his or her appearance include a willingness to touch the affected body part. Self-care activities such as morning care foster feelings of self-worth, which are closely linked to body image.
Question 5 of 5
The nurse assesses a client who has a severe burn injury. Which statement indicates the client understands the psychosocial impact of a severe burn injury?
Correct Answer: A
Rationale: During the recovery period, and for some time after discharge from the hospital, clients with severe burn injuries are likely to have psychological problems that require intervention. Depression is one of these problems.