ATI Care of the Acutely Ill Burn Patient, Chapter 16: Perrin: Understanding the Essentials of Critical Care Nursing: Chamberlain College of Nursing NR 341 (A Graded) Latest Questions and Complete Solutions Perrin: Understanding the Essentials of Critical Care Nursing Chapter 16: Care of the Acutely Ill Burn Patient MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the questions 1) The nurse providing an overview of burns to a community group would teach the causes for thermal burns. These causes would include: (Select all that apply.) A) Exposure to hot liquids. B) Friction injuries. C) Being splashed with drain cleaner. D) Stepping on hot charcoal. E) Contact with steam. F) Low- voltage household current. Answer: A, B, D, E Explanation: A) (Note: This requires multiple responses to be correct.) Thermal burns include fire/flame injuries, scald injuries from exposure to hot liquids or steam, and contact/friction injuries. # 3 is not correct. Drain cleaner represents a chemical source. #6 is not correct. -Lvoowltage household current would be an electrical burn. Nursing Process: Implementation Cognitive Level: Analysis Category of Need: Physiological Integrity–Alteration in Body Systems/Medical Emergencies B) (Note: This requires multiple responses to be correct.) Thermal burns include fire/flame injuries, scald injuries from exposure to hot liquids or steam, and contact/friction injuries. # 3 is not correct. Drain cleaner represents a chemical source. #6 is not correct. -Lvoowltage household current would be an electrical burn. Nursing Process: Implementation Cognitive Level: Analysis Category of Need: Physiological Integrity–Alteration in Body Systems/Medical Emergencies C) (Note: This requires multiple responses to be correct.) 2 Thermal burns include fire/flame injuries, scald injuries from exposure to hot liquids or steam, and contact/friction injuries. # 3 is not correct. Drain cleaner represents a chemical source. #6 is not correct. -Lvoowltage household current would be an electrical burn. Nursing Process: Implementation Cognitive Level: Analysis Category of Need: Physiological Integrity–Alteration in Body Systems/Medical Emergencies D) (Note: This requires multiple responses to be correct.) Thermal burns include fire/flame injuries, scald injuries from exposure to hot liquids or steam, and contact/friction injuries. # 3 is not correct. Drain cleaner represents a chemical source. #6 is not correct. -Lvoowltage household current would be an electrical burn. Nursing Process: Implementation Cognitive Level: Analysis Category of Need: Physiological Integrity–Alteration in Body Systems/Medical Emergencies E) (Note: This requires multiple responses to be correct.) Thermal burns include fire/flame injuries, scald injuries from exposure to hot liquids or steam, and contact/friction injuries. # 3 is not correct. Drain cleaner represents a chemical source. #4 is not correct. -Lvoowltage household current would be an electrical burn. Nursing Process: Implementation Cognitive Level: Analysis Category of Need: Physiological Integrity–Alteration in Body Systems/Medical Emergencies F) (Note: This requires multiple responses to be correct.) Thermal burns include fire/flame injuries, scald injuries from exposure to hot liquids or steam, and contact/friction injuries. # 3 is not correct. Drain cleaner represents a chemical source. #4 is not correct. -Lvoowltage household current would be an electrical burn. Nursing Process: Implementation Cognitive Level: Analysis Category of Need: Physiological Integrity–Alteration in Body Systems/Medical Emergencies 2) The nurse is explaining to the granddaughter of a-ny8ea5r- old woman that elderly persons are at greater risk for scalding by hot water due to: A) This age group's adversity to taking showers. B) An inclination to test the water's temperature. C) Overall slower reaction time. D) Loss of elasticity of skin tissue. Answer: C 3 Explanation: A) The elderly and disabled individuals are at risk for scalding by hot bath water due to impaired sensation, slower reaction times, and decreased mobility. #1 is not correct. It is easier for the elderly to take a shower because they do not have to risk slipping and falling while getting in and out of a bathtub. #2 is not correct. The elderly can have a decrease in memory and forget to test the water temperature. #4 is not correct. Loss of skin elasticity is not a risk factor but could affect the severity. Nursing Process: Assessment Cognitive Level: Analysis Category of Need: Health Promotion and Maintenance–Teaching, Aging Process B) The elderly and disabled individuals are at risk for scalding by hot bath water due to impaired sensation, slower reaction times, and decreased mobility. #1 is not correct. It is easier for the elderly to take a shower because they do not have to risk slipping and falling while getting in and out of a bathtub. #2 is not correct. The elderly can have a decrease in memory and forget to test the water temperature. #4 is not correct. Loss of skin elasticity is not a risk factor but could affect the severity. Nursing Process: Assessment Cognitive Level: Analysis Category of Need: Health Promotion and Maintenance–Teaching, Aging Process C) The elderly and disabled individuals are at risk for scalding by hot bath water due to impaired sensation, slower reaction times, and decreased mobility. #1 is not correct. It is easier for the elderly to take a shower because they do not have to risk slipping and falling while getting in and out of a bathtub. #2 is not correct. The elderly can have a decrease in memory and forget to test the water temperature. #4 is not correct. Loss of skin elasticity is not a risk factor but could affect the severity. Nursing Process: Assessment Cognitive Level: Analysis Category of Need: Health Promotion and Maintenance–Teaching, Aging Process D) The elderly and disabled individuals are at risk for scalding by hot bath water due to impaired sensation, slower reaction times, and decreased mobility. #1 is not correct. It is easier for the elderly to take a shower because they do not have to risk slipping and falling while getting in and out of a bathtub. #2 is not correct. The elderly can have a decrease in memory and forget to test the water temperature. #4 is not correct. Loss of skin elasticity is not a risk factor but could affect the severity. Nursing Process: Assessment Cognitive Level: Analysis Category of Need: Health Promotion and Maintenance–Teaching, Aging Process 3) A patient rescued from a small house fire is brought to the emergency department. There is no burn injury to the patient's skin. Lab results show the only abnormality as a CO level of 22%. Which intervention would the nurse expect to implement? A) Administer high- flow nebulizer treatment. B) Infuse a fluid bolus of lactated Ringer's solution. C) Begin a sodium bicarbonate drip. D) Give 100% oxygen by mask. 4 Answer: D Explanation: A) Carbon monoxide has a stronger affinity for hemoglobin than oxygen does so it displaces oxygen as it binds with the hemoglobin. This impairs oxygen transport and tissue perfusion. The treatment is hi-gflhow 100% oxygen. If hyperbaric oxygen therapy is available, it should be used if the patient has a decreased level of consciousness. #1 is n correct. This treatment will only open airways but not displace the carbon monoxide. #2 is not correct. This treatment would be used for fluid resuscitation, not gas exchange treatment. #3 is not correct. A bicarbonate drip is only used for severe metabolic acidosi that is not responsive to other treatment. Nursing Process: Implementation Cognitive Level: Analysis Category of Need: Physiological Integrity–Alteration in Body Systems/Medical Emergencies