Integumentary Practice Qs Flashcards

1
Q
  1. A client arriving at the ED has experienced frost bite to the right hand. Which of the following would the nurse note upon assessment of the hand?
  2. Pink edematous
  3. Fiery red with edema in the nail beds
  4. Black fingertips surrounded by an erythematous rash
  5. A white rash color to the skin, which is insensitive to touch
A
  1. Flushing of the skin will not occur until thawing occurs
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2
Q
  1. Which is the therapeutic outcome of the escharotomy?
  2. Return of distal pulses
  3. Brisk bleeding from the site
  4. Decreasing edema formation
  5. Formation of granulation tissue
A
  1. Escharotomy releases the tourniquet like compression
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3
Q
  1. Pt is brought to ED with partial thickness burns to his face, neck, arms, and chest. Appropriate interventions? SATA
  2. Restrict fluids
  3. Assess for airway patency
  4. Administer oxygen as prescribed
  5. Place a cooling blanket on the client
  6. elevate extremities if no fractures are present
  7. Prepare to give PO pain med as prescribed
A

2, 3, 5

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4
Q
  1. Which finding is expected during the resus/emergent phase of the burn injury?
  2. Decreased HR
  3. Increased UOP
  4. Increased BP
  5. Elevated hematocrit
A

4.

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