Patients with burns may have mesh grafts or sheet grafts. Which of the following sites is most likely to have a sheet graft applied?

Correct Answer: B

Rationale: The correct answer is B: Face. Sheet grafts are typically used on areas where a smooth, even surface is desired, such as the face. Mesh grafts, on the other hand, are often used on areas that need more flexibility and conformity, like the arms and legs. Chest may also require mesh grafts due to its irregular shape. So, face is the most likely site for a sheet graft due to the need for aesthetic outcomes and minimal scarring.

Correct Answer: A

Rationale: The correct answer is A: Encouraging the patient to turn from side to side and to assume a prone position. This measure is essential for preventing hip flexion contractures after a below-the-knee amputation. Turning from side to side and assuming a prone position help in maintaining proper positioning and preventing hip flexion contractures by stretching the hip extensors and preventing the hip from being in a prolonged flexed position. Choice B is incorrect because initiating ROM exercises of the hip and knee 10 to 12 weeks after the amputation may be too late to prevent contractures. Choice C is incorrect as minimizing movement of the flexor muscles of the hip can actually lead to contractures. Choice D is also incorrect as sitting in a chair for extended periods can promote hip flexion contractures.

Correct Answer: D

Rationale: The correct answer is D: Promote the patient's highest possible level of function. The primary goal of a multidisciplinary rehabilitation team caring for a patient who has had an amputation is to help the patient achieve their maximum functional ability and independence. This goal involves various specialists working together to provide comprehensive care tailored to the patient's specific needs. Maximizing efficiency of care (A) is important but not the primary goal. Ensuring holistic healthcare (B) is valuable but not the primary focus. Facilitating adjustment to a new body image (C) is important, but the primary goal is to promote the patient's functional abilities.

Correct Answer: B

Rationale: The correct answer is B: Flush the wound bed with sterile saline. Prior to obtaining a wound culture specimen, flushing the wound bed with sterile saline helps remove debris and contaminants. This step ensures that the specimen collected is not contaminated, providing accurate culture results. Applying clean gloves (A) is important but does not directly impact the quality of the specimen. Cleansing the wound with antimicrobial solution (C) may interfere with the culture results by killing bacteria present. Keeping the wound open to air for several minutes (D) does not contribute to obtaining a clean specimen.

Correct Answer: B

Rationale: The correct answer is B: Serum protein level 7.1 g/dL. This indicates effective teaching as it shows an improvement in the patient's nutritional status. Serum protein levels reflect protein intake and liver function, which are crucial for healing after burns. Weight loss (A) is not indicative of nutritional improvement in this context. Low serum albumin level (C) suggests protein malnutrition, not improvement. Choice D is not a valid option.