Chapter 46--Burns: Nursing Management

Chapter 46–Burns: Nursing Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is assessing a client’s burn for the zones of injury. Which of the following will the nurse not assess in the client at this time?

1.	Zone of coagulation
2.	Zone of eschar
3.	Zone of hyperemia
4.	Zone of stasis

 

 

ANS:  2

There is no zone of eschar. The zones of injury are the zone of coagulation, the zone of stasis, and the zone of hyperemia.

 

PTS:   1                    DIF:    Analyze         REF:   Local Tissue Response

 

2. Which of the following will the nurse most likely assess in a client diagnosed with a second-degree burn?

1.	No pain and necrotic areas
2.	No pain and scarring
3.	Pain and blisters
4.	Pain and peeling after 2 to 5 days

 

 

ANS:  3

A second-degree burn is a partial-thickness burn. This type of burn is very painful, has blisters that increase in size, blanches with pressure, and may or may not require grafting. The other characteristics are for first- or third-degree burns.

 

PTS:   1                    DIF:    Apply            REF:   Pathophysiology

 

3. The nurse, caring for a client with severe burns, realizes that the client’s care will progress through specific periods of treatment EXCEPT:

1.	acute period.
2.	emergent period.
3.	rehabilitation period.
4.	stabilization period.

 

 

ANS:  4

The three periods of treatment in the care of the seriously burned client are the emergent period, the acute period, and the rehabilitation period. There is no stabilization period of burn care.

 

PTS:   1                    DIF:    Analyze         REF:   Planning and Implementation

 

4. A client who has experienced a burn is in the emergent phase of treatment that usually occurs during which of the following periods?

1.	24 to 48 hours
2.	36 to 72 hours
3.	48 to 96 hours
4.	1 to 7 days

 

 

ANS:  1

The emergent period is the first 24 to 48 hours after a burn. The acute phase begins after the emergent period ends and lasts until the burn is healed. The rehabilitation period begins with wound closure and continues until the patient has reached the highest level of functioning.

 

PTS:   1                    DIF:    Analyze         REF:   Planning and Implementation

 

5. A client is beginning the initial treatment of a major burn in the emergency room. Which of the following interventions would not be completed?

1.	Inserting an indwelling urinary catheter
2.	Intubatng the patient
3.	Giving oral medications for pain management
4.	Starting an intravenous solution of Ringer’s lactate

 

 

ANS:  3

Large burns cause decreased peristalsis, and therefore nothing should be given by mouth. Clients with large burns may vomit, and attention is needed to prevent them from aspirating vomitus. Prophylactic intubation may be initiated if any heat or smoke has been inhaled. Fluid replacement and urine output are necessary for the treatment of the burn client.

 

PTS:     1          DIF:     Apply  REF:    Emergency Department Management