Question 1 of 6
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Which sign or symptom observed during a dressing change of a patient with burns indicates infection?
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- Odorless dischargePurulent discharge may indicate infection and should be reported to the health care provider.
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- Wound is light pinkA color change to dark red or brown may indicate infection and should be reported to the health care provider.
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- Faint odorA strong odor observed during dressing change may indicate infection.
- Correct
- Texture changeTexture change observed during dressing change may indicate infection and should be reported to the health care provider.
Question 2 of 6
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Which patient statement indicates an understanding about the pain associated with burn injuries?
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- “The pain will go away once my burn is healed.”Burn pain can remain for many years, even after the wound has healed.
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- “Opioid medications are not usually used to treat burn pain.”Opioid medications are often used to treat burn pain.
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- “I may also be prescribed a medication for anxiety to help the pain.”Antianxiety agents should be used with analgesia to effectively treat pain associated with burns.
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- “Acupuncture should be avoided because it makes the pain worse.”Acupuncture has been shown to improve pain with some burn patients, so this option should be considered if the patient is interested.
Question 3 of 6
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Which nursing intervention is appropriate for preventing infection in a patient with a burn injury? Select all that apply. One, some, or all responses may be correct.
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- Implement airborne precautions.Standard precautions are used on burn patients unless there is an open wound, in which case contact precautions are implemented.
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- Maintain meticulous hand hygiene.Hand hygiene should be maintained by all health care staff to ensure prevention of infection.
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- Wear gloves when handling wounds.Gloves should be worn when touching wounds and should be changed when handling different wounds on different parts of the body.
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- Use a bed cradle to keep blankets off wounds.Bed cradles or other devices should be used to keep the weight of blankets off burned areas and prevent infection.
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- Use clean technique when performing patient care.Aseptic technique should be maintained during all patient care for patients with burns to prevent infection.
Question 4 of 6
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The nurse is providing education to a patient with a burn injury. Which patient statement indicates an understanding of dietary changes that should be made?
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- “I will avoid the use of vitamin supplements.”Vitamin supplements, especially vitamins A, C, and D, should be given because burn patients often have deficiencies.
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- “Most of my calories should come from foods high in fat.”Most of the burn patient’s calories should come from protein, not fat, to promote wound healing.
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- “The amount of water I can drink will be somewhat restricted.”Free water intake is restricted in burn patients due to the fluid shifts associated with the burn injury.
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- “I need to count calories closely so I don’t consume too many.”Burn patients should consume large amounts of calories to improve metabolism and wound healing.
Question 5 of 6
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Which psychosocial nursing intervention is appropriate when caring for a patient with a burn injury?
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- Focus on patient weaknesses.The nurse should focus on the patient’s strengths to improve self-esteem and promote effective coping skills.
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- Perform all self-care tasks for the patient.The patient should be encouraged to perform as much self-care as possible to promote a sense of control over the situation.
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- Discourage the patient from asking questions.The patient should be encouraged to ask questions and verbalize concerns about the treatment plan.
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- Monitor for signs of posttraumatic stress disorder (PTSD).PTSD is common in patients with burn injury, so it is important for the nurse to monitor for symptoms.
Question 6 of 6
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Which statement would the nurse include in the discharge instructions for a patient with a burn injury? Select all that apply. One, some, or all responses may be correct.
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- “It is fine to be in the sun after you get home.”Patients with burn injury should avoid direct sunlight for 1 year because their skin will be sensitive to the light.
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- “Increase your dietary intake of carbohydrates.”Dietary intake of protein, not carbohydrates, should be increased to promote wound healing.
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- “Wear your pressure garments for 23 hours each day.”Pressure garments should be worn for 23 hours of each day and only removed to shower.
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- “It is very important that you maintain regular follow-up visits.”Follow-up visits are important to maintain care and promote full healing.
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- “Topical antihistamines can be used if itching becomes severe.”Topical antihistamines have been shown to improve itching for burns.