Integumentary Practice Qs

Question 1

481. 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?
482. Pink edematous
483. Fiery red with edema in the nail beds
484. Black fingertips surrounded by an erythematous rash
485. A white rash color to the skin, which is insensitive to touch

Answer 1

4. Flushing of the skin will not occur until thawing occurs

Question 2

484. Which is the therapeutic outcome of the escharotomy?
485. Return of distal pulses
486. Brisk bleeding from the site
487. Decreasing edema formation
488. Formation of granulation tissue

Answer 2

1. Escharotomy releases the tourniquet like compression

Question 3

486. Pt is brought to ED with partial thickness burns to his face, neck, arms, and chest. Appropriate interventions? SATA
487. Restrict fluids
488. Assess for airway patency
489. Administer oxygen as prescribed
490. Place a cooling blanket on the client
491. elevate extremities if no fractures are present
492. Prepare to give PO pain med as prescribed

Answer 3

2, 3, 5

Question 4

487. Which finding is expected during the resus/emergent phase of the burn injury?
488. Decreased HR
489. Increased UOP
490. Increased BP
491. Elevated hematocrit

Answer 4

4.