Which is the greatest concern during the emergent phase of a burn injury?

joint contractures

hypovolemic shock.

Fluid overload

adrenal failure

Answer and Explanation

The Correct Answer is B

A. Joint contractures are a long-term concern, not an immediate threat during the emergent phase.
B. Hypovolemic shock due to fluid loss is a primary concern in the emergent phase of a burn injury.
C. Fluid overload is not a primary concern in the emergent phase, though it could be a concern in the later resuscitative phase.
D. Adrenal failure is not typically an immediate concern in the emergent phase of burn care.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Use nightlights and remove extra furniture from the room: Nightlights provide gentle lighting that can reduce disorientation, and removing extra furniture minimizes fall risk.
B. Place the patient in a room with another recovering patient. This might increase agitation and disrupt both patients' sleep.
C. Instruct the patient to orient himself to his surroundings at bedtime. This may not be effective due to the patient's disorientation during detoxification.
D. Wake the patient up every 4 hours to eat a small snack. Frequent waking can disrupt sleep patterns and increase confusion.

A. Wear gloves only if the skin appears broken or inflamed. B. Ask the patient about personal skin care. C. Avoid potentially embarrassing questions about rashes or scars. D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin.

Correct Answer is B

Explanation

A. Wear gloves only if the skin appears broken or inflamed. Gloves should be worn to protect both the patient and the nurse from infection regardless of the appearance of the skin.
B. Ask the patient about personal skin care. Understanding the patient's personal skin care practices can provide insight into potential issues and areas needing attention.
C. Avoid potentially embarrassing questions about rashes or scars. Addressing rashes or scars is crucial for proper assessment and treatment, despite potential embarrassment.
D. Have artificial, preferably fluorescent, lighting for proper illumination of the skin. Proper lighting is important, but asking about personal skin care can provide additional context and help with a thorough assessment.

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Which is the greatest concern during the emergent phase of a burn injury?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What should the nurse do to decrease the patient's disorientation at night during the detoxification period?

Correct Answer is A

Explanation

Which is important for the nurse to assess when inspecting the skin of a patient?

Correct Answer is B

Explanation

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