Integumentary Practice Qs Flashcards
1
Q
- 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?
- Pink edematous
- Fiery red with edema in the nail beds
- Black fingertips surrounded by an erythematous rash
- A white rash color to the skin, which is insensitive to touch
A
- Flushing of the skin will not occur until thawing occurs
2
Q
- Which is the therapeutic outcome of the escharotomy?
- Return of distal pulses
- Brisk bleeding from the site
- Decreasing edema formation
- Formation of granulation tissue
A
- Escharotomy releases the tourniquet like compression
3
Q
- Pt is brought to ED with partial thickness burns to his face, neck, arms, and chest. Appropriate interventions? SATA
- Restrict fluids
- Assess for airway patency
- Administer oxygen as prescribed
- Place a cooling blanket on the client
- elevate extremities if no fractures are present
- Prepare to give PO pain med as prescribed
A
2, 3, 5
4
Q
- Which finding is expected during the resus/emergent phase of the burn injury?
- Decreased HR
- Increased UOP
- Increased BP
- Elevated hematocrit
A
4.
