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Chapter 28: Care of Patients with Burns Test Bank

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1. The RN has assigned a client who has an open burn wound to the LPN. Which instruction is most important for the RN to provide the LPN? a. Administer the prescribed tetanus toxoid vaccine. b. Ass... ess wounds for signs of infection. c. Have the client cough and breathe deeply. d. Wash hands on entering the client’s room. 2. When providing care for a client with an acute burn injury, which nursing intervention is most important to prevent infection by autocontamination? a. Avoid sharing equipment such as blood pressure cuffs between clients. b. Change gloves between wound care on different parts of the client’s body. c. Use the closed method of burn wound management for all wound care. d. Use proper and consistent handwashing by all members of the staff. 3. The nurse is teaching burn prevention to a community group. Which information shared by a member of the group causes the nurse the greatest concern? a. “I get my chimneys swept every other year.” b. “My hot water heater is set at about 120 degrees.” c. “Sometimes I wake up at night and smoke.” d. “I use a space heater when it gets below zero.” 4. The nurse is conducting a home safety class. It is most important for the nurse to include which information in the teaching plan? a. Have an escape route everyone knows about. b. Keep a smoke detector in each bedroom. c. Use space heaters instead of gas heaters. d. Use carbon monoxide detectors in the garage. 5. A client with facial burns asks the nurse if he will ever look the same. Which response is best for the nurse to provide? a. “With reconstructive surgery, you can look the same.” b. “We can remove the scars with the use of a pressure dressing.” c. “You will not look exactly the same but cosmetic surgery will help.” d. “You shouldn’t start worrying about your appearance right now.” Which statement indicates that the client understands these instructions? a. “My scars should be less severe with the use of this mask.” b. “The mask will help protect my skin from sun damage.” c. “This treatment will help prevent infection.” d. “Using the mask will keep scars from being permanent.” 7. Which finding indicates to the nurse that a client with a burn injury has a positive perception of his appearance? a. Allowing family members to change the dressings b. Discussing future surgical reconstruction c. Performing morning care independently d. Wearing the pressure dressings as ordered 8. Which statement best exemplifies a client’s understanding of rehabilitation after a fullthickness burn injury? a. “I am fully recovered when all the wounds are closed.” b. “I will eventually be able to perform all my former activities.” c. “My goal is to achieve the highest level of functioning that I can.” d. “Full recovery from a major burn injury never occurs.” [Show More]

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