A patient is brought to the emergency department after a house fire. the patient has extensive trunk and lower extremity burns and is diagnosed with a full thickness burn. What assessment findings does the nurse expect?

Bright-red, moist lesions

Blackened, painful lesions

Snowy white, painless lesions

Blistered, pinkish-white, painful lesions

Answer and Explanation

The Correct Answer is C

A. Bright-red, moist lesions:
This describes superficial partial-thickness burns, not full-thickness burns.

B. Blackened, painful lesions:
Full-thickness burns may appear black (eschar), but they are typically painless due to nerve destruction.

C. Snowy white, painless lesions:
Full-thickness burns can be white, leathery, or charred and are often painless due to complete nerve damage.

D. Blistered, pinkish-white, painful lesions:
These are characteristic of deep partial-thickness burns, which retain some nerve sensation.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

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.

A. Perform hourly neurological assessments on the client. B. Administer oxygen to the client at 100%. C. Institute seizure precautions for the client.! D. Provide ondansetron IV to the client for nausea.

Correct Answer is B

Explanation

A. Perform hourly neurological assessments on the client:
Important, but not the first action. Neurological symptoms may improve with oxygenation.

B. Administer oxygen to the client at 100%:
CO binds to hemoglobin with a higher affinity than oxygen. 100% oxygen displaces CO and is the priority intervention to reduce hypoxia.

C. Institute seizure precautions for the client:
Useful if the client becomes neurologically compromised, but not the priority over oxygenation.

D. Provide ondansetron IV to the client for nausea:
Nausea can occur in CO poisoning, but treating hypoxia is the priority.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A patient is brought to the emergency department after a house fire. the patient has extensive trunk and lower extremity burns and is diagnosed with a full thickness burn. What assessment findings does the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

A nurse is assisting with the care of a client who sustained severe carbon monoxide (CO) poisoning after being trapped in a burning building. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

The nurse in a high school clinic is aware of an unusually high incidences of cold sores among the student population. Which information from the nurse will be the most helpful in controlling the spread of the causative virus, HSV-1?

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

A nurse is discussing pressure ulcer staging with a newly licensed nurse. Which of the following statements should the nurse use to describe a stage 3 pressure ulcer?

A nurse in the outpatient clinic is collecting data from a client who has psoriasis. Which of the following findings should the nurse expect?

A patient is brought to the emergency department after a house fire. the patient has extensive trunk and lower extremity burns and is diagnosed with a full thickness burn. What assessment findings does the nurse expect?

When prioritizing the care of a client with burns, which intervention should the nurse implement first?

A nurse is preparing to administer liquid mycostatin 600,000 units PO every 8 hr. Available is mycostatin 100,000 units/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number.)

While collecting data on a patient, the nurse observes that the patient's facial skin is reddened and is covered with greasy scales, yellowish crusts. What skin disorder does the nurse expect the patient to be treated for?