Burn Injury Discussion Paper

Burn Injury Discussion Paper
6. To maintain a positive nitrogen balance in a major burn, the
patient must
a. eat a high-protein, low-fat, high-carbohydrate diet.
b. increase normal caloric intake by about three times.
c. eat at least 1500 calories/day in small, frequent meals.
d. eat rice and whole wheat for the chemical effect on nitrogen
balance.
7. A patient has 25% TBSA burned from a car fire. His wounds have
been debrided and covered with a silver-impregnated dressing.
The nurse’s priority intervention for wound care would be to
a. reapply a new dressing without disturbing the wound bed.
b. observe the wound for signs of infection during dressing
changes.
c. apply cool compresses for pain relief in between dressing
changes.
d. wash the wound aggressively with soap and water three times
a day.
8. Pain management for the burn patient is most effective when
(select all that apply)
a. a pain rating tool is used to monitor the patient’s level of pain.
b. painful dressing changes are delayed until the patient’s pain is
completely relieved.
c. the patient is informed about and has some control over the
management of the pain.
d. a multimodal approach is used (e.g., sustained-release and
short-acting opioids, NSAIDs, adjuvant analgesics).
e. nonpharmacologic therapies (e.g., music therapy, distraction)
replace opioids in the rehabilitation phase of a burn injury.
9. A therapeutic measure used to prevent hypertrophic scarring
during the rehabilitation phase of burn recovery is
a. applying pressure garments.
b. repositioning the patient every 2 hours.
c. performing active ROM at least every 4 hours.
d. massaging the new tissue with water-based moisturizers.
10. A patient is recovering from second- and third-degree burns over
30% of his body and is now ready for discharge. The first action
the nurse should take when meeting with the patient would be to
a. arrange a return-to-clinic appointment and prescription for
pain medications.
b. teach the patient and the caregiver proper wound care to be
performed at home.
c. review the patient’s current health care status and readiness for
discharge to home.
d. give the patient written discharge information and websites for
additional information for burn survivors.