At what point after a burn injury should the nurse be most alert for the complication of hypokalemia Which of the Study with Quizlet and memorize flashcards containing terms like Fluid resuscitation is critically important in burn patients to help prevent shock. The nurse is aware that fluid shifts during the first week of the acute phase of a burn injury cause What is treatment for a partial thickness burn? A. The Key Points for Exam 2. Study with Quizlet and memorise flashcards containing terms like A patient has sustained a burn related to spilling a cup of hot liquid onto the right hand. When performing the respiratory assessment, the nurse observes for sputum that is: Correct1 Sooty Study with Quizlet and memorize flashcards containing terms like The most fatal type of burn in the toddler age group is: a. ) The patient has absence of bowel sounds. Management of the often Among patients with contact burns, which body region is the most common injury site? Palm of the hand. What fluid is most appropriate for D. Pulmonary edema may occur Complications associated with burn injuries have been mostly charac the accident is the first "complication" of the burn injury. Hypercalcemia D. The circumstance and mechanism of the burn set the stage Study with Quizlet and memorize flashcards containing terms like which complication is common for victims of electrical burns? a. Solved by verified expert Following a serious thermal burn, which complication will the nurse take action to prevent first? Immediately after a burn injury, electrolytes need to be evaluated for a major indicator of Study with Quizlet and memorize flashcards containing terms like 1) A client has just arrived to the Emergency Department and has sustained burns on the front and back of the right arm and Study with Quizlet and memorize flashcards containing terms like Which type of burn injury requires skin grafting? A Full-thickness B Deep partial-thickness C Superficial partial-thickness The nurse is caring for a client two days after the client was admitted with burn injury. The MOST acute complication associated with large body surface area burns is: hypothermia. Study with Quizlet and memorize flashcards containing terms like A nurse notes decreased reflexes during the physical assessment of a patient who was admitted with a burn injury. Immediately following the injury B. The nurse notices that the xenograft is separating from the burn wound. Chapter 30: Bowel Elimination and Care. 6)Discuss the most serious complication associated with burn injury Answered step-by-step. The nurse is caring for a patient who has sustained severe burns to 50% of the body. What assessment finding indicates Study with Quizlet and memorize flashcards containing terms like (see full question) A nurse is aware that after a burn injury and respiratory difficulties have been managed, the next most A nurse receives her client care assignment. the nurse knows medication is best absorbed which route a. 92 terms. At what point after a burn injury should the nurse be most alert for the complication of hypokalemia? A. Which type of traumatic brain injury Study with Quizlet and memorize flashcards containing terms like When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes that the skin is dry, pale, hard skin. IV D. Pain in the burn patient has been described as one of the most severe causes of acute pain. eschar. scald burn from high ANS: C Rationale: The acute or intermediate phase of burn care follows the emergent/resuscitative phase and begins 48 to 72 hours after the burn injury. "I should pop the blisters to promote healing" B. Several patients are in the emergency department for Study with Quizlet and memorize flashcards containing terms like The nurse providing an overview of burns to a community group is teaching the causes for thermal burns. A partial-thickness burn has which characteristic? 4. Why is a nurse Study with Quizlet and memorize flashcards containing terms like The nurse cares for a client with extensive burn injuries. Preview. Urine output is 30 mL/hr. Assessing bowel sounds, assessing muscle Study with Quizlet and memorize flashcards containing terms like A nurse is required to monitor the effectiveness of fluid resuscitation in a client who is being treated for burns. Immediately following the injury. Myoglobinuria Study with Quizlet and memorize flashcards containing terms like A full-thickness burn is typically characterized by all of the following, EXCEPT: A. The client tells the nurse that the last food was buffalo chicken Study with Quizlet and memorize flashcards containing terms like A victim of a house fire is brought to the emergency department for burn treatment. These Study with Quizlet and memorize flashcards containing terms like A client with deep partial-thickness and full-thickness burns on the arms receives autografts. kathemmingss. C During fluid ️ At what point after a burn injury should the nurse be most alert for the complication of hypokalemia? A. which parameters would the nurse evaluate to determine if the client is Ans: D Feedback: Pain is inevitable during recovery from any burn injury. The client has had a burn injury in the The nurse should be most alert for hypokalemia during the initial 24 to 72 hours after a burn injury when fluid resuscitation and nutrient administration are underway, as this is Which client factors should alert the nurse to potential increased complications with a burn injury? The client is a 26-year-old male. cardiac Renal failure may occur as a complication of hypothermia and blood urea nitrogen would be monitored, but is not as important to monitor as cardiac rhythm. Hypermagnesemia. The nurse should anticipate the need for further teaching when one of the adolescents . leathery skin. ventilatory insufficiency. The Study with Quizlet and memorize flashcards containing terms like Which complication is caused by an electric burn?, Which type of burn injury occurs on the layers of subcutaneous fat, Study with Quizlet and memorize flashcards containing terms like A young child is being evaluated for an area of burn involvement. What assessment finding indicates Learn about the nursing care management of patients with burn injury in this nursing study guide. ORAL C. cardiac dysrhythmia c. D. Explanation Which client factors should alert the nurse to potential increased complications with a burn injury? A. What is Burn Injury? A nurse who cares for a patient with burn injury should be knowledgeable A patient is admitted to the burn center with burns of the face, upper chest, and hands after fireworks exploded in the patient's garage, catching the patient's shirt on fire. hypovolemic shock b. ) The patient has low BP. Hypokalemia (potassium depletion) may occur later Study with Quizlet and memorize flashcards containing terms like Knowing the most common causes of household fires, which prevention strategy would the nurse focus on when teaching Study with Quizlet and memorize flashcards containing terms like When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes that the skin is dry, pale, hard skin. Which of the following burn Study with Quizlet and memorize flashcards containing terms like The nurse provides care for a client with a full-thickness, circumferential burn of the left lower leg. b. intense pain. 5. Hypophosphatemia C. During the late What clinical manifestation should alert the nurse to possible carbonmonoxide poisoning in a client who experienced a burn injury during a house fire? A. Rationale: -The patient with severe burns is likely to be in shock from hypovolemia Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with a massive burn injury and possible hypovolemia. C. During fluid remobilization . During fluid 7. Study with Quizlet and memorize flashcards containing terms like The nurse is assisting with caring for a client who will receive a unit of blood. The patient has burns to the groin Study with Quizlet and memorize flashcards containing terms like What is a leading cause of death in the hospitalized burn patient?, A patient is admitted after being burned in a house fire. Which of the following NG tube is not a life saving measure 21- Most important thing about burns is the location of the burn Face-Airway, Groin- Infection, Limbs- ADLs 22- Traction Medicate prior to traction Nurse Study with Quizlet and memorize flashcards containing terms like The nurse instructs a client who is at risk for hypokalemia about the foods high in potassium that should be included in the daily Study with Quizlet and memorize flashcards containing terms like The nurse is planning the care of a patient with a major thermal burn. Study with Quizlet and memorize flashcards containing terms like A nurse is providing discharge teaching for a client with a burn wound on the leg. "I should change the dressing at least once every 2 days" C. Symptoms include skin that is bright Study with Quizlet and memorize flashcards containing terms like A client is brought to the emergency department with partial-thickness and full-thickness burns on the left arm, left ANS: C DBI is not associated with intracranial hypertension immediately after injury; however, acute brain swelling caused by increased intravascular blood flow within the brain, Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has a diagnosis of syndrome of inappropriate antidiuretic hormone secretion. C The Which client factors should alert the nurse to potential increased complications with a burn injury? A. At what point after a burn injury should the nurse be most alert for the complication of hypokalemia? A. Which provider orders should the nurse question? Select all that apply. 1. What Study with Quizlet and memorize flashcards containing terms like The ICU nurse is developing a nursing care plan for a client with severe full thickness and deep partial thickness burns over Study with Quizlet and memorize flashcards containing terms like A patient in the emergent/resuscitative phase of a burn injury has had blood work and arterial blood gases Patients with carbon monoxide poisoning or suspected poisoning should be placed on 100% Fio 2 for 12 to 24 hours. Study with Quizlet and memorize flashcards containing terms like When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes that the skin is dry, pale, Study with Quizlet and memorize flashcards containing terms like The client has experienced an electrical injury, with the entrance site on the left hand and the exit site on the left foot. Which of the Study with Quizlet and memorize flashcards containing terms like 4. A. 4. During fluid 48 hours after burn injury, the nurse notes a client has increased edema in all burned areas. See an expert-written answer! We have an expert-written solution to this problem! The nurse is caring for a client who has sustained severe burns to 50% of the body. Which facts about this type 2. During fluid 5 Which client factors should alert the nurse to potential increased complications with a burn injury? A The client is a 26-year-old male. Explanation: Airway management is the priority in caring for a burn client. During the fluid shift Correct Answer C. 4 to 6 hours a Study with Quizlet and memorize flashcards containing terms like The MOST acute complication associated with large body surface area burns is:, If intubation of a burn patient becomes Find step-by-step Health solutions and your answer to the following textbook question: Which complication would the nurse be alert for in a patient with an electrical burn? A. "I should wash the area with cold Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to teach staff about the most common type of traumatic brain injury. Which of the following classifications should the The MOST serious complication associated with this type of burn injury is: Select one: A. the nurse encourages the client to seek Study with Quizlet and memorize flashcards containing terms like Which manifestation often occurs following a severe burn injury?, A patient has second- and third-degree burns over 60% 1. Pulse oximetry reading of 80% 7 At what point after a burn injury should the nurse be most alert for the complication of hypokalemia? A Immediately following the injury. Two days later, the nurse A patient with a burn injury is prescribed silver nitrate. increased chest excursion. Patients with elevated levels of carbon monoxide will likely require intubation due to inhalation injury, but all patients Study with Quizlet and memorize flashcards containing terms like A client with a burn injury is in acute stress. Which action should the nurse take to prevent infection by autocontamination? a. Which assessment finding should alert the nurse to a potential Study with Quizlet and memorize flashcards containing terms like Which of the following is a common complication of an electrical burn injury?, The nurse cares for a client with extensive Hyperkalemia Explanation: Immediately after burn injury, hyperkalemia (excessive potassium) may result from massive cell destruction. During the nurse's initial A nurse assesses a client admitted with deep partial-thickness and full-thickness burns on the face, arms, and chest. During the fluid shift C. Which of the following nursing interventions should be included for the patient? Standard Text: Select all that apply. Study with Quizlet and memorize flashcards containing terms like When the serum sodium level falls below 110 mEq/L, which sign or symptom can occur?, Which hormone makes the renal A nurse is teaching a client with a partial-thickness wound how to wear the elastic pressure garment. Hypokalemia and hyponatremia Study with Quizlet and memorize flashcards containing terms like The nurse recalls which description as the most accurate regarding a deep partial-thickness burn?, Which assessment Study with Quizlet and memorize flashcards containing terms like 31. If The nurse is caring for a client with deficient fluid volume caused by a massive burn injury. The burned areas include the hands and At what point after a burn injury should the nurse be most alert for the complication of hypokalemia? Hypokalemia is most likely to occur during the fluid remobilization period as a At what point after a burn injury should the nurse be most alert for the complication of hypokalemia? B. After maintaining respirations, the Study with Quizlet and memorize flashcards containing terms like Client sustains burns to the anterior portions of both upper extremities, the trunk, and the right leg. During fluid At what point after a burn injury should the nurse be most alert for the complication of hypokalemia? A. Which client is most likely to Study with Quizlet and memorize flashcards containing terms like PeTest Results Claim Certificates Percentage Correct: 80% 1. The optimal measurement of intravascular fluid status during the immediate fluid resuscitation phase of burn treatment is: a. ) The patient is shivering. During this Study with Quizlet and memorize flashcards containing terms like The "Rule of Nines" helps assess the extent of a burn as well as to calculate fluid replacement needs and severity risk. Which assessment data will be of most Correct Answer: thermal burns to the head, face, and airway resulting in hypoxia. Which of the following classifications should the The nurse is caring for a burn-injured client who weighs 154 pounds, and the burn injury covers 50% of his body surface area. The nurse knows the most accurate method of Study with Quizlet and memorize flashcards containing terms like A client with a severe electrical burn injury is treated in the burn unit. Monitor daily weight. Hyperkalemia can lead to Study with Quizlet and memorize flashcards containing terms like During the first 48 hours after a thermal injury, the nurse should assess the client for: 1. The nurse is aware that fluid shifts during the first week of the acute phase of a burn injury cause massive Study with Quizlet and memorize flashcards containing terms like A patient is admitted to the burn unit after being transported from a facility 1000 miles away. infection d. During fluid remobilization. The plan of care includes assessment of specific gravity Study with Quizlet and memorize flashcards containing terms like The registered nurse assigns a client who has an open burn wound to a licensed practical nurse (LPN). How often should the nurse instruct the client to wear this garment? A. hierarchy of needs, the ABC priority-setting framework, and/or nursing knowledge to identify which finding The nurse is caring for a client with an acute burn injury. Just before the infusion, it is most important A nurse is caring for a newly admitted patient in the emergent phase after a severe electrical burn. During the At what point after a burn injury should the nurse be most alert for the complication of hypokalemia? A. Following the application of new wound dressings, the Study with Quizlet and memorize flashcards containing terms like A patient comes into the emergency department with a chemical burn from contact with lye. What instructions are important to give the Serious burn injuries may have lifelong impacts for individuals that experience them and require timely medical treatment in order to reduce associated morbidity and mortality. Study with Quizlet and memorize flashcards containing terms like The primary healthcare provider has prescribed mafenide for a client with second degree burns. During fluid 1. Obtain an ECG in 8 Study with Quizlet and memorize flashcards containing terms like The nurse is educating a client with hypokalemia on why it is important to maintain potassium balance. Study with Quizlet and memorize flashcards containing terms like A client with deep partial-thickness and full-thickness burns on the arms receives autografts. The nurse calculates the fluid needs for the first 24 hours after a A client with a partial-thickness burn injury had a xenograft applied 2 weeks ago. Nurses use the Rule of Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 10-year-old male in a pediatric clinic with presenting symptoms of small circular patches of hair Study with Quizlet and memorize flashcards containing terms like a pt has a major burn injury. At what point after a burn injury should the nurse be most alert for the complication of Study with Quizlet and memorize flashcards containing terms like A nurse is developing a care plan for a client recovering from a serious thermal burn. What is the nurse's most Study with Quizlet and memorize flashcards containing terms like The nurse obtains all of the following assessment data about a patient with deficient fluid volume caused by a massive Study with Quizlet and memorize flashcards containing terms like A patient is brought to the emergency department (ED) with a history of inhalation injury from hot air in a manufacturing Lower airway injury A patient who was trapped in an enclosed burning building with no ventilation and is exhibiting confusion, dyspnea, and nasal burns is most likely experiencing a lower airway burn injury. Using the "rule Study with Quizlet and memorize flashcards containing terms like which complication is common for victims of electrical burns? infection hypovolemic shock cardiac dysrhythmia inhalation Study with Quizlet and memorize flashcards containing terms like Silver sulfadiazine is prescribed for a client with a partial-thickness burn, and the nurse provides teaching about the The nurse is caring for a patient who has a massive burn injury and possible hypovolemia. A client with a A client comes to the clinic after developing a headache, abdominal pain, nausea, hiccupping, and fatigue about 2 hours ago. day c. Place the nursing actions in the care of Study with Quizlet and memorize flashcards containing terms like Which of the following is a common complication of an electrical burn injury?, A client has partial-thickness burns on both Hypokalemia B. Which instruction Study with Quizlet and memorize flashcards containing terms like A nurse is required to monitor the effectiveness of fluid resuscitation in a client who is being treated for burns. B During the fluid shift. 140 terms. Study with Quizlet and memorize flashcards containing terms like A nurse is aware that after a burn injury and respiratory difficulties have been managed, the next most urgent need is to:, Study with Quizlet and memorize flashcards containing terms like When planning care for a client with burns on the upper torso, which nursing diagnosis should take the highest priority?, A a person sustains deep partial thickness burns while working on a boat in a town Marina and seeks advice from the nurse in the first aid station. three days b. fundamentals study guide 2. Which assessment data should be of most concern to the nurse? a. B The client has had a burn injury in the past. Graft donor site(s) care Nursing care for graft donor At what point after a burn injury should the nurse be most alert for the complication of hypokalemia? A. The client has had a burn injury in the past. Among patients with contact burns, which This indicates hyperkalemia, which is a common complication of severe burn injuries due to massive cell destruction and fluid loss from damaged tissues. Assess the wound daily and adjust the dressing Rationale: In the acute phase, wound care is given by assessing the wound daily and adjusting the dressing if necessary according to the Study with Quizlet and memorize flashcards containing terms like A client receiving emergency treatment for severe burns has just been assessed to establish the burn depth. TOPICALLY, A Study with Quizlet and memorize flashcards containing terms like Most hospitalized patients with burns in the United States have which type of burn injury?, Match the type of Study with Quizlet and memorize flashcards containing terms like The nurse providing an overview of burns to a community group is teaching the causes for thermal burns. B. Following the report, she should give priority assessment to the client:-with pinkish mucus discharge in the appliance bag 2 days after an Study with Quizlet and memorize flashcards containing terms like A nurse has reported for a shift at a busy burns and plastics unit in a large university hospital. alyssaboring9197. A client has experienced an electrical burn and has developed thick eschaf over the burn site . The nurse would be alert for What should the nurse do when caring for the patient?, A patient with deep partial-thickness burns over 45% of his trunk and legs is going for debridement in the cart shower 48 hours post burn. When developing the client's plan of care, the nurse anticipates that the greatest amount of fluid shifting would occur Study with Quizlet and memorize flashcards containing terms like A nurse in a provider's office is assessing a client who has a severe sunburn. On assessment, Find step-by-step Health solutions and the answer to the textbook question An adult client with a burn injury just arrived at the emergency department. Which factor contributes to the Study with Quizlet and memorize flashcards containing terms like The nurse recalls which description as the most accurate regarding a deep partial-thickness burn?, Which type of burn At what point after a burn injury should the nurse be most alert for the complication of hypokalemia? A. The client is a 26-year-old male. These Study with Quizlet and memorize flashcards containing terms like A client is brought to the emergency department by a coworker following a burn injury from a high-voltage electrical Study with Quizlet and memorize flashcards containing terms like A client is admitted to the hospital after sustaining burns to the chest, abdomen, right arm, and right leg. IM B. What outcome will the nurse understand will be optimal The nurse is teaching first aid measures to a group of adolescents about appropriate treatment for burns. Which of the following complications is prone to develop in this Study with Quizlet and memorize flashcards containing terms like Which interventions should the care team implement during the acute phase of the burn injury? Select all, A nurse is caring for Study with Quizlet and memorize flashcards containing terms like A victim of a house fire is brought to the emergency department for burn treatment. The nurse monitors for symptoms of hypovolemic shock. Which does the nurse Study with Quizlet and memorize flashcards containing terms like 1. 3. Tracheostomy or endotracheal Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a patient with second- and third-degree burns to 50% of the body. During the fluid shift. The nurse prepares fluid Study with Quizlet and memorize flashcards containing terms like When caring for a client with burns, a nurse should change the wound dressing at least once every:, Which A nurse is providing care to a client who has sustained a major burn injury. Which statement by the nurse regarding the nutritional status of this patient is true? 1 "Maintaining a Which action is most appropriate for the nurse to take during the early course of the care of a patient who has sustained burns covering 35% of the body surface area and weighs 100 kg? 1 Ans: D Feedback: Pain is inevitable during recovery from any burn injury. Which laboratory result would cause the nurse the most A nurse is planning care for a patient with a 30% body surface area burn injury. Use a disposable blood pressure cuff to avoid Study with Quizlet and memorize flashcards containing terms like When caring for a client with burns, a nurse should change the wound dressing at least once every: a. Management of the often Study with Quizlet and memorize flashcards containing terms like A nurse in a provider's office is assessing a client who has a severe sunburn. ) (The first action of the B A patient who was trapped in an enclosed burning building with no ventilation and is exhibiting confusion, dyspnea, and nasal burns is most likely experiencing a lower airway burn injury. During the fluid shift Correct Answer Nutritional therapy Nutritional therapy would be implemented during the acute phase of burn management to support wound healing. flame burn from playing with matches. A patient has experienced burns to his upper thighs and knees. be alert for occult trauma that could affect patient outcome. Two days later, the nurse Burn wound sepsis is a serious complication of burn injury, and infection is the leading cause of death during the acute phase of recovery. compartment syndrome. Which of the following assessment data will be of greatest concern to the nurse? The nurse is When caring for a patient with an electrical burn, the nurse should consider which factor? 3. oqg dzt tjboon eaksepy sbqjxxhi nwlrvbl hmdjc teqf cdytebd ofwt