A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an escharotomy and wants to know what the procedure involves. Which of the following statements is appropriate for the nurse to make?

"A cannula will be inserted into the bone to infuse fluids and antibiotics."

"An escharotomy surgically removes dead tissue."

"A piece of skin will be removed and grafted over the burned area."

"Large incisions will be made in the burned tissue to improve circulation."

Answer and Explanation

The Correct Answer is D

A. "A cannula will be inserted into the bone to infuse fluids and antibiotics.":
Describes intraosseous access, not escharotomy.

B. "An escharotomy surgically removes dead tissue.":
That is debridement, not escharotomy.

C. "A piece of skin will be removed and grafted over the burned area.":
Describes a skin graft, not escharotomy.

D. "Large incisions will be made in the burned tissue to improve circulation.":
Escharotomy involves cutting through the burned eschar to relieve pressure and restore circulation, especially in circumferential full-thickness burns.

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Correct Answer is B

Explanation

A. "I will clean the white patches off my baby's mouth with a washcloth after giving the nystatin.":
This removes the medication from the mucosa and reduces its effectiveness.

B. "I will make sure my child swishes the medication around in his mouth before swallowing it.":
Correct. Nystatin works best when in contact with the mucous membranes. For infants, it should be applied to oral surfaces with a dropper or swab.

C. "I will mix my baby's medication in a clear liquid and put it in her bottle.":
This dilutes the medication, making it less effective, and reduces mucosal contact time.

D. "I will give my baby the medication just before a feeding.":
Feeding right after administration may wash away the medication, reducing its efficacy.

A. Timely administration of prophylactic antibiotics B. Proper hand hygiene by healthcare providers C. Adequate wound cleaning and debridement D. Delayed wound closure and prolonged healing

Correct Answer is D

Explanation

A. Timely administration of prophylactic antibiotics:
Helps reduce infection risk, not increase it.

B. Proper hand hygiene by healthcare providers:
Prevents infection; this is an important part of infection control.

C. Adequate wound cleaning and debridement:
Helps reduce bacterial load and supports healing.

D. Delayed wound closure and prolonged healing:
The longer the wound is open, the greater the risk of infection due to exposed tissue and compromised barrier function.

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A nurse is caring for a client with severe burns to both lower extremities. The client is scheduled for an escharotomy and wants to know what the procedure involves. Which of the following statements is appropriate for the nurse to make?

Nursing Test Bank

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Correct Answer is D

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