TNCC Burn Management 3

Question 1

A burn patient's urine output drops to 0.3 mL/kg/hr despite adequate fluid resuscitation. The most appropriate intervention is:

Accepted Answer

Increase IV fluid rate to achieve target output of 0.5–1 mL/kg/hr

Answer

Administer a diuretic to increase urine output

Answer

Restrict fluids to prevent pulmonary edema

Answer

Obtain a renal ultrasound

Question 2

Which electrolyte abnormality is most commonly seen in the first 24–48 hours following a major burn injury?

Accepted Answer

Hyperkalemia

Answer

Hypernatremia

Answer

Hypokalemia

Answer

Hypercalcemia

Question 3

A patient sustains a hydrofluoric acid burn to the hand. After copious irrigation, which specific treatment is required?

Accepted Answer

Calcium gluconate gel application

Answer

Silver sulfadiazine dressing

Answer

Sodium bicarbonate soaks

Answer

Immediate skin grafting

Question 4

When transferring a major burn patient, which criterion from the American Burn Association meets criteria for transfer to a burn center?

Accepted Answer

Partial-thickness burns greater than 10% TBSA

Answer

Superficial burns greater than 5% TBSA in an adult

Answer

Any burn requiring a dressing change

Answer

Full-thickness burns less than 1% TBSA without complications

Question 5

In a burn patient with suspected cyanide poisoning from smoke inhalation, what is the recommended antidote?

Accepted Answer

Hydroxocobalamin

Answer

N-acetylcysteine

Answer

Sodium thiosulfate alone

Answer

Amyl nitrite inhalation

Question 6

Which topical agent is contraindicated in burn patients with sulfonamide allergy?

Accepted Answer

Silver sulfadiazine (Silvadene)

Answer

Bacitracin ointment

Answer

Mafenide acetate (Sulfamylon)

Answer

Petroleum gauze

Question 7

A child presents with scald burns in a stocking-glove distribution with clear demarcation and no splash marks. The nurse should prioritize:

Accepted Answer

Documenting and reporting suspected non-accidental trauma

Answer

Immediate IV fluid resuscitation per Galveston formula

Answer

Applying silver sulfadiazine and arranging outpatient follow-up

Answer

Transferring immediately to the burn center