Which of the following interventions can help prevent contractures in a burn patient? (Select All that Apply.)
Avoiding splinting or bracing
Immobility and bed rest
early mobilization
Performing regular passive range of motion exercises
Applying tight dressings to the affected areas
Correct Answer : C,D
A. Splinting or bracing is often used to prevent contractures, so avoiding them is not recommended.
B. Immobility and bed rest increase the risk of contractures due to muscle shortening and joint stiffness.
C. Early mobilization helps maintain joint flexibility and muscle strength, reducing contracture risk.
D. Regular passive range of motion exercises help maintain joint mobility and prevent contractures.
E. Tight dressings can restrict movement and increase contracture risk; they should be avoided.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The Rule of Nines is the most commonly used and appropriate method to quickly estimate the TBSA burned in adult patients. It divides the body into sections, each representing approximately 9% (or a multiple thereof) of the total body surface area.
B. BMI is used to assess body fat and weight status, not burn area.
C. The patient’s palm size is roughly 1% of TBSA and is more commonly used for estimating small, scattered burns, not for calculating large surface areas.
D. There is no such tool as the "Parkland Burn Chart"; the Parkland Formula is used for fluid resuscitation after TBSA is estimated.
Correct Answer is B
Explanation
Parkland formula: 4 mL × body weight (kg) × % TBSA = total fluid for 24 hours
Calculation: 4 × 80 × 45 = 14,400 mL in 24 hours
Half of this fluid (14,400 ÷ 2) = 7,200 mL should be administered in the first 8 hours.
The remaining half is given over the next 16 hours.
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