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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Allergic reaction in patients with sulfa allergies:
Silver sulfadiazine contains a sulfa compound and is contraindicated in patients with sulfonamide allergies.
B. Increased risk of infection:
Silver sulfadiazine is antimicrobial, and reduces infection risk, not increases it.
C. Delayed wound healing:
Some studies suggest it may delay epithelialization, but this is not the most common or concerning reaction.
D. Improved wound healing:
It helps prevent infection, but does not significantly accelerate healing. The focus is on infection control, not wound closure.
Correct Answer is A
Explanation
A. "I should apply a sunscreen with an SPF of 30.”
SPF 30 is the recommended minimum for effective sun protection. It blocks about 97% of UVB rays.
B. "Sunscreen does not need to be applied on a cloudy day."
Up to 80% of UV rays can penetrate clouds, so sunscreen is still necessary on cloudy days.
C. "A sunscreen is a better choice for my toddler than a sunblock."
Sunblock (physical blockers like zinc oxide) are often safer and more effective for young children than chemical sunscreens.
D. "I can expose my 3-month-old infant to the sun if I apply sunscreen."
Sunscreen is not recommended for infants under 6 months. They should be kept out of direct sunlight entirely.
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