The nurse is reviewing laboratory values for a patient receiving treatment during the emergent phase of burn management. Which laboratory result should the nurse expect for the patient at this time:

Increased hematocrit

Decreased blood urea nitrogen (BUN)

Decreased serum potassium

increased serum albumin

Answer and Explanation

The Correct Answer is A

Choice A rationale: During the emergent phase of burn management, patients commonly experience hemoconcentration due to fluid shift from the intravascular space to the interstitial space. This leads to an increase in hematocrit, indicating a higher concentration of red blood cells in the blood.
Choice B rationale: Burn injuries often result in increased protein breakdown and an elevation in BUN levels.
Choice C rationale: Burn injuries can cause the release of potassium from damaged cells, leading to hyperkalemia rather than hypokalemia.
Choice D rationale: The emergent phase of burn management is characterized by a decrease in serum albumin due to protein loss from the burned tissue and increased capillary permeability.

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Correct Answer is B

Explanation

Choice A rationale: While age can influence the overall prognosis and response to treatment, the location of the burn is more critical in the immediate assessment of severity.
Choice B rationale: The priority when assessing the severity of burns is the location of the burn. Burns to certain areas, such as the face, neck, or major joints, can be more critical due to the potential for complications, including impairment of breathing, vision, or mobility. Burns to these areas may require prompt intervention and closer monitoring to ensure early mitigation of the above complications
Choice C rationale: While understanding the cause is important for prevention and future education, it is not the immediate priority in assessing the severity of the current burn.
Choice D rationale: While medical history may impact the overall treatment plan, it is not the primary factor in the initial assessment of burn severity.

A. Herpes zoster is easily spread to family and friends who have had chickenpox in the past. B. The lesions are contagious to others only if they are draining. C. Many clients experience pain in the affected area for weeks after the lesions have resolved. D. vesicles will appear followed by pain and or itching.

Correct Answer is C

Explanation

Choice A rationale: Herpes zoster itself is not easily spread, but the varicella-zoster virus can be transmitted to individuals who have not had chickenpox or the varicella vaccine.
Choice B rationale: While the virus can be spread through contact with the fluid from shingles blisters, it can also be spread by respiratory droplets from the infected person.
Choice C rationale: Postherpetic neuralgia is a common complication of herpes zoster (shingles), and it involves persistent pain in the affected area even after the lesions have healed.
Choice D rationale: This statement is accurate, but it does not address the persistent pain (postherpetic neuralgia) that can occur after the lesions resolve.

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The nurse is reviewing laboratory values for a patient receiving treatment during the emergent phase of burn management. Which laboratory result should the nurse expect for the patient at this time:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?

Correct Answer is B

Explanation

A nurse is formulating a teaching plan about herpes zoster for a group of older adults at a community center. The nurse should include which of the following information in the plan?

Correct Answer is C

Explanation

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A nurse is admitting a client who sustained severe burn injuries. The nurse refers to the rule of nines to determine the total body surface area of Your injury What percentage of body surface area should the nurse estimate the client has burned?