A client is brought to the emergency department with burns over 40% of the body from apartment fire. Which assessment should take priority?

Percent of body surface burned

Respiratory status

Review of chronic illnesses

Burn depth

Answer and Explanation

The Correct Answer is B

A. Percent of body surface burned:
Important for guiding fluid resuscitation, but airway and breathing always take priority in the ABCs.

B. Respiratory status:
Inhalation injury is a life-threatening complication in fire-related burns. Assess for stridor, soot in nares/mouth, and signs of respiratory distress first.

C. Review of chronic illnesses:
Relevant for overall care planning, but not an initial priority in the emergency phase.

D. Burn depth:
Guides long-term care but is secondary to airway and breathing in the acute setting.

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Correct Answer is D

Explanation

A. "What do you think caused your infection?"
Provides insight into possible sources or exposures.

B. "How long have you had the infection?"
Helps establish a timeline for severity and progression.

C. "What aggravates or alleviates symptoms?"
Aids in understanding symptom patterns and effective treatments.

D. “Do you think you got it from a friend?"
This is subjective, speculative, and unlikely to provide useful clinical data.

A. "Use a moisturizer on your skin after cleaning." B. "Rub your skin firmly when cleaning." C. "Wash your skin daily with hot water.” D. "Allow your skin to air dry after bathing.”

Correct Answer is A

Explanation

A. "Use a moisturizer on your skin after cleaning."
Moisturizers help maintain skin hydration and barrier function, reducing the risk of breakdown and infection.

B. "Rub your skin firmly when cleaning."
This can cause microabrasions and increase the risk of skin breakdown and infection.

C. "Wash your skin daily with hot water.”
Hot water can dry out the skin and compromise the skin barrier, increasing infection risk.

D. "Allow your skin to air dry after bathing.”
Patting the skin dry is better than air drying, which can lead to excessive dryness and irritation.

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A client is brought to the emergency department with burns over 40% of the body from apartment fire. Which assessment should take priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse at an HCP's office is interviewing a patient presenting with a skin infection. Which question by the nurse will provide the least important information?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client about maintaining skin integrity to decrease the risk of infection. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

Which of the following factors increases the risk for infection in burn patients?

A nurse is reinforcing teaching with a client about the risk factors for skin cancer. Which of the following statements by the client indicates an understanding of the teaching?

The nurse is taking care of a burn patient with deep partial-thickness burns. Which of the following factors can contribute to fluid imbalance in burn patients?

Priority nursing diagnoses for burns include: (Select All That Apply)

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A nurse is caring for a client who has herpes zoster. Which of the following actions should the nurse take?

A nurse is caring for a client who has burns to his face, ears, and eyelids. Which of the following is the priority finding to report to the provider?