Nokea
Which symptom is consistent with an inhalation burn?
- A. Full-thickness burns to chest
- B. Hypotension
- C. Agitation
- D. Persistent coughing
Correct Answer: D
Rationale: Persistent coughing, particularly if black mucus is coughed up, is an indicator of an inhalation burn.
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An adolescent is in the clinic with a few skin lesions on his thighs. The lesions have an open center with a thin crust. Which question by the nurse will aid the diagnosis of this patients skin problem?
- A. Are you active in any athletics or sports?
- B. Do you have siblings with respiratory infections?
- C. Do you seem to scratch a lot at night?
- D. Have you been in any wooded areas lately?
Correct Answer: A
Rationale: This lesion sounds like MRSA(methicillin-resistant Staphylococcus aureus). MRSA is common in athletes.
It is documented that a patient has superficial partial-thickness burns over both anterior lower arms. What should the nurse expect when assessing this patient?
- A. Dry with no blisters
- B. Waxy appearance and cherry red in color
- C. Dry leathery appearance and pale or brown in color
- D. Open or closed blisters, mild edema, easily blanches
Correct Answer: D
Rationale: Superficial partial-thickness burns involve the epidermis and part of the dermis, typically presenting with blisters, mild edema, and blanching due to preserved capillary refill.
The patient asks the nurse if the placement of the autograft over his full-thickness burn will be the only surgical intervention needed to close his wound. The nurse's best response would be:
- A. "Unfortunately"
- B. an autograft skin is a temporary graft and a second surgery will be needed to close the wound.?"
- C. "An autograft is a biological dressing that will eventually be replaced by your body generating new tissue.?"
- D. "Yes
Correct Answer: C
Rationale: The autograft is the only permanent method of grafting and it uses the patient's own tissue to cover the burn wound. Autografting is permanent and does not require a second surgery unless the graft fails. A biological or biosynthetic graft or dressing is a temporary wound covering. A xenograft is from an animal, usually pig skin and is a temporary graft.
A patient, age 27, sustained thermal burns to 18% of her body surface area. After the first 72 hours, the nurse will have to observe for the most common cause of burn-related deaths, which is:
- A. shock.
- B. respiratory arrest.
- C. hemorrhage.
- D. infection.
Correct Answer: D
Rationale: Infection is the most common complication and cause of death after the first 72 hours.
Which intervention should the nurse discuss with the client diagnosed with tinea pedis reporting intense itching?
- A. Wash feet with soap and water and dry thoroughly at least twice a day.
- B. Take the prescribed itraconazole for 1 week a month for 3 months.
- C. Use over-the-counter (OTC) antifungal powders such as miconazole.
- D. Wear clean cotton socks and change frequently to keep feet dry.
Correct Answer: A
Rationale: Washing and drying feet twice daily prevents fungal growth. Itraconazole is for tinea unguium, OTC powders are adjunctive, and socks help but washing is the primary intervention.