Which factors determine the severity of a burn injury?

The temperature of the burning agent and the duration of contact time

The location of the burn and the individual's overall health

The size of the burn and the age of the individual

The color of the burning agent and the individual's pain tolerance

Answer and Explanation

The Correct Answer is A

A. The severity of a burn is primarily influenced by the temperature of the burning agent and how long the skin is exposed to it. Higher temperatures and longer contact times cause deeper and more severe burns.
B. While the location and overall health affect outcomes and treatment complexity, they do not directly determine initial severity.
C. Size and age influence prognosis and treatment but not the initial severity of the burn itself.
D. The color of the burning agent and pain tolerance do not affect burn severity.

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Correct Answer is C

Explanation

A. Removing the tracheostomy tube completely is unnecessary and unsafe when capping.
B. Placing the cap without deflating the cuff will block airflow because the inflated cuff seals the airway.
C. Deflating the cuff before capping allows airflow around the tube, enabling the patient to breathe through the upper airway, which is necessary when using a trach cap.
D. Capping with the cuff inflated prevents air passage through the upper airway and may cause respiratory distress.

A. Infection B. Fluid imbalance C. Paralytic ileus D. Airway obstruction

Correct Answer is D

Explanation

A. Infection is a significant concern in burn clients but is not the immediate life-threatening priority in the initial phase of care.
B. Fluid imbalance is a critical issue during burn management, especially in the resuscitation phase, but airway management takes precedence.
C. Paralytic ileus can occur due to stress and decreased perfusion but is a lower priority compared to airway compromise.
D. Airway obstruction is the top priority in clients with burns to the head, neck, and chest, due to the risk of inhalation injury, swelling, and respiratory compromise. Airway patency must be ensured immediately to prevent life-threatening complications.

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Which factors determine the severity of a burn injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the appropriate action when placing a cap on a tracheostomy tube with an inflated cuff?

Correct Answer is C

Explanation

A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

Correct Answer is D

Explanation

A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?

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Which of the following statements is true about smoke inhalation injuries?

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Which factors determine the severity of a burn injury?

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