Question 1

Which of the following is the effect of protein catabolism in a client with severe burns?

Accepted Answer

A)   It compromises wound healing and immunocompetence.
B)   It compromises dexterity and mobility.
C)   It maximizes the risk of sodium retention and hypotension.
D)   It maximizes the risk of impaired ventilation.

Question 2

The palm represents which percentage of a person's TBSA?

Accepted Answer

A)   1%
B)   5%
C)   10%
D)   15%

Question 3

A client receiving emergency treatment for severe burns has just been assessed to establish the burn depth. Why is a nurse asked to reassess the burn depth after 72 hours?

Accepted Answer

A)   It helps determine the percentage of the total body surface area (TBS
A)   that is burned.
B)   The client's condition is likely to deteriorate after 72 hours.
C)   The wound is susceptible to infections.
D)   The early appearance of the burn injury may change.

Question 4

A client with burns has undergone skin grafting. Which of the following instructions should a nurse provide the client?

Accepted Answer

A)   Avoid protein-rich foods for a period of time.
B)   Avoid calcium-rich products for a period of time.
C)   Restrict movement for a period of time.
D)   Perform mild range-of-movement (ROM)  exercises.

Question 5

A client has burns to his anterior trunk and left arm. Using the Rule of the Nines, what is the TBSA burned?

Accepted Answer

A)   18%
B)   27%
C)   36%
D)   45%

Question 6

Which of the following clients with burns is more prone to infection and requires close monitoring by the nurse?

Accepted Answer

A)   A client with burns involving the hands
B)   A client with burns of the face and neck
C)   A client with burns in the perineal area
D)   A client with burns in the abdominal area C

Question 7

Skin grafts are necessary for which of the following burns?

Accepted Answer

A)   Superficial
B)   Superficial partial thickness
C)   Full-thickness
D)   First degree

Question 8

Which of the following is a true statement regarding the purposes of skin grafts?

Accepted Answer

A)   Increases evaporative fluid loss.
B)   Increases potential for infection.
C)   Reduces scarring.
D)   Prolongs recovery

Question 9

Which zone consists of the area where the injury is most severe and deepest?

Accepted Answer

A)   Coagulation
B)   Stasis
C)   Hyperemia
D)   Necrosis

Question 10

Which of the following is a common complication of an electrical burn injury?

Accepted Answer

A)   Localized edema
B)   Absent bowel sounds
C)   Loss of mobility
D)   Cardiac dysrhythmias

Question 11

A nurse is required to monitor the effectiveness of fluid resuscitation in a client who is being treated for burns. Which of the following assessments would indicate the success of the fluid resuscitation?

Accepted Answer

A)   The client's heart rate is rapid.
B)   The client's urinary output is 0.3 to 0.5 mL/kg/hour.
C)   The client's breathing is unlabored and skin is clammy.
D)   The client is conscious.

Question 12

Which of the following is a disadvantage of the open method of burn care?

Accepted Answer

A)   Maintains a moist wound bed.
B)   Promotes maintenance of body temperature.
C)   Keeps skin folds separated.
D)   Exposes wound to pathogens. D

Question 13

Which type of burn is similar to a sunburn?

Accepted Answer

A)   Superficial
B)   Partial-thickness
C)   Deep partial-thickness
D)   Full-thickness

Question 14

Which type of skin graft is more comparable in appearance to normal skin?

Accepted Answer

A)   Lace graft
B)   Full-thickness graft
C)   Slit graft
D)   Split thickness graft

Question 15

Which of the following types of shock will a nurse observe in a client with extensive burns?

Accepted Answer

A)   Anaphylactic shock
B)   Neurogenic shock
C)   Septic shock
D)   Hypovolemic shock D

Question 16

Which of the following is true regarding a split-thickness skin graft?

Accepted Answer

A)   Split thickness grafts are less successful than other types of grafts.
B)   Their cosmetic appearance are more desirable.
C)   Hair is able to grow back from their surface.
D)   The epidermis and a thin layer of dermis are harvested from the client's skin.

Question 17

Which type of graft utilizes the client's own skin for wound coverage?

Accepted Answer

A)   Heterograft
B)   Allograft
C)   Autograft
D)   Slit graft

Question 18

A client with a burn injury is in acute stress. Which of the following complications is prone to develop in this client?

Accepted Answer

A)   Anemia
B)   Gastric ulcers
C)   Hyperthyroidism
D)   Cardiac arrest

Question 19

Which of the following actions should a nurse perform to help reduce the accumulation of debris within the burn wound?

Accepted Answer

A)   Use powder-free sterile gloves.
B)   Use topical antimicrobial medications.
C)   Use cold compresses or sponges.
D)   Use sterilized gauze swaps.

Question 20

Which type of debridement occurs when nonliving tissues sloughs away from uninjured tissues?

Accepted Answer

A)   Mechanical
B)   Natural
C)   Enzymatic
D)   Surgical

Exam 66: Caring for Clients With Burns

Which of the following is the effect of protein catabolism in a client with severe burns?

Correct AnswerverifiedShow Answer

The palm represents which percentage of a person's TBSA?

Correct AnswerverifiedShow Answer

A client receiving emergency treatment for severe burns has just been assessed to establish the burn depth. Why is a nurse asked to reassess the burn depth after 72 hours?

Correct AnswerverifiedShow Answer

A client with burns has undergone skin grafting. Which of the following instructions should a nurse provide the client?

Correct AnswerverifiedShow Answer

A client has burns to his anterior trunk and left arm. Using the Rule of the Nines, what is the TBSA burned?

Correct AnswerverifiedShow Answer

Which of the following clients with burns is more prone to infection and requires close monitoring by the nurse?

Correct AnswerverifiedC

Skin grafts are necessary for which of the following burns?

Correct AnswerverifiedShow Answer

Which of the following is a true statement regarding the purposes of skin grafts?

Correct AnswerverifiedShow Answer

Which zone consists of the area where the injury is most severe and deepest?

Correct AnswerverifiedShow Answer

Which of the following is a common complication of an electrical burn injury?

Correct AnswerverifiedShow Answer

A nurse is required to monitor the effectiveness of fluid resuscitation in a client who is being treated for burns. Which of the following assessments would indicate the success of the fluid resuscitation?

Correct AnswerverifiedShow Answer

Which of the following is a disadvantage of the open method of burn care?

Correct AnswerverifiedD

Which type of burn is similar to a sunburn?

Correct AnswerverifiedShow Answer

Which type of skin graft is more comparable in appearance to normal skin?

Correct AnswerverifiedShow Answer

Which of the following types of shock will a nurse observe in a client with extensive burns?

Correct AnswerverifiedD

Which of the following is true regarding a split-thickness skin graft?

Correct AnswerverifiedShow Answer

Which type of graft utilizes the client's own skin for wound coverage?

Correct AnswerverifiedShow Answer

A client with a burn injury is in acute stress. Which of the following complications is prone to develop in this client?

Correct AnswerverifiedShow Answer

Which of the following actions should a nurse perform to help reduce the accumulation of debris within the burn wound?

Correct AnswerverifiedShow Answer

Which type of debridement occurs when nonliving tissues sloughs away from uninjured tissues?

Correct AnswerverifiedShow Answer

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C

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D

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D

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