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

Administering pain medication

Providing emotional support to the client

Applying a topical burn ointment

Assessing the client's airway and breathing

Answer and Explanation

The Correct Answer is D

A. Administering pain medication
Pain control is important but secondary to ensuring the airway is clear.

B. Providing emotional support to the client
While necessary, emotional support is not an immediate priority during the acute phase of burn care.

C. Applying a topical burn ointment
This is appropriate after stabilization, not before airway and breathing are assessed.

D. Assessing the client's airway and breathing
Airway and breathing take top priority in burn clients, especially if the burns involve the face, neck, or chest. Inhalation injury, edema, or airway obstruction can be life-threatening and must be assessed immediately.

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","C","D","E"]

Explanation

A. Adequate Tissue Perfusion
While this important in burn management, it is not typically classified as a priority nursing diagnosis in the early stages of treatment.

B. Risk for infection
Burned skin is a lost barrier to pathogens, increasing infection risk.

C. Impaired Gas Exchange
Especially in cases of inhalation injury, airway swelling or carbon monoxide exposure can impair gas exchange.

D. Acute Pain
Burns cause significant pain that requires management for comfort and healing.

E. Fluid Volume Deficit
Burns result in fluid shifts and capillary leakage, leading to hypovolemia.

A. Intense pain B. Lesions along the pathways of nerve endings C. Serous drainage D. Silvery, white scales

Correct Answer is D

Explanation

A. Intense pain:
Psoriasis can be itchy or mildly sore, but intense pain is not characteristic unless lesions are cracked/infected.

B. Lesions along the pathways of nerve endings:
Describes herpes zoster, not psoriasis.

C. Serous drainage:
Psoriatic lesions are typically dry unless secondarily infected.

D. Silvery, white scales:
Classic sign of psoriasis - raised, red patches with a silvery scale.

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

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is ["B","C","D","E"]

Explanation

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

Correct Answer is D

Explanation

The nurse is explaining to a family the benefit of a patient-controlled analgesia pump. Which of the following is an appropriate use of Dilaudid PCA for burn patients?

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?

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?

Which of the following nursing interventions is appropriate for a client with malignant melanoma?

A patient is to receive heparin 6,000 units subcutaneously every 12 hours for DVT. The pharmacy dispenses a vial containing 10,000 units/1 mL. How many milliliters of heparin should the nurse administer? Express to the tenth.

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?

Which of the following assessments should the nurse prioritize for a burn patient with impaired physical mobility?

The nurse is reviewing the care plan with the dietician or nutritionist for a burn client. The nurse knows which of the following factors contribute to the increased metabolic demands in burn patients?