Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
Critical Care Nursing A Holistic Approach 10th Edition by Patricia Gonce Morton
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Chapter 53- Burns and Common Integumentary Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A patient has had an alkali splash causing burns to the right upper extremity and the right side of the face. Which intervention by the nurse is a priority? | |
| A) | Obtain a health history. | |
| B) | Irrigate with water to the burned area. | |
| C) | Apply an antibiotic cream. | |
| D) | Start an intravenous line (IV) of normal saline at 10 mL/hr. | |
| 2. | A patient arrived in the emergency department (ED) after being found by a family member unconscious in the garage with the car running. High flow oxygen at 100% is administered in the ED. The nurse knows that which of the following diagnostic tests would be the best to determine that the present therapy is effective? | |
| A) | Pulse oximetry | |
| B) | Chest x-ray | |
| C) | Serial carboxyhemoglobin levels | |
| D) | Hemoglobin and hematocrit | |
| 3. | A patient has been treated for severe burns over 36% of the body. What assessment data obtained by the nurse indicates the patient may be experiencing septic shock? Select all that apply. | |
| A) | White blood count (WBC) 7,200 | |
| B) | Blood pressure 60/40 | |
| C) | PaO2 72 | |
| D) | Urine output <10 mL/hour | |
| E) | Blood pressure 140/76 | |
| 4. | The nurse is caring for a patient 24 hours after fluid resuscitation for burns over 50% of the body. Which assessment data obtained by the nurse indicates complications from the fluid resuscitation? | |
| A) | Absent peripheral pulses | |
| B) | Crackles in lung fields | |
| C) | Sinus bradycardia | |
| D) | 1+ pitting edema of the feet | |
| 5. | The nurse determines that the patient is at the end of the resuscitation phase of the burn injury. What assessment data has the nurse obtained that is a primary indicator of this phase? | |
| A) | Pa02 of 90 | |
| B) | A reddish-brown color of urine | |
| C) | Urine output of >30 mL/hr | |
| D) | Urine output of <20 mL/hr | |
Answer Key
| 1. | B |
| 2. | C |
| 3. | B, C, D |
| 4. | B |
| 5. | D |
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