TNCC Burn Management 4

Question 1

During the emergent phase of burn care, the nurse should anticipate which hemodynamic changes due to the systemic inflammatory response?

Accepted Answer

Decreased cardiac output with increased systemic vascular resistance

Answer

Increased cardiac output with decreased systemic vascular resistance

Answer

Decreased cardiac output with decreased systemic vascular resistance

Answer

Increased cardiac output with increased systemic vascular resistance

Question 2

A patient with 30% TBSA burns develops hyperthermia to 39.5°C on day 3. What is the most likely cause?

Accepted Answer

Normal hypermetabolic response to major burns

Answer

Wound infection with bacteremia

Answer

Transfusion reaction

Answer

Drug fever from silver sulfadiazine

Question 3

Mafenide acetate (Sulfamylon) differs from silver sulfadiazine primarily because it:

Accepted Answer

Provides broader gram-negative coverage and penetrates eschar

Answer

Has fewer side effects and is better tolerated by patients

Answer

Does not require a prescription for use

Answer

Is the preferred agent for facial burns

Question 4

When assessing a burn patient's airway 6 hours after injury, which finding should prompt the most urgent action?

Accepted Answer

Stridor with increasing hoarseness

Answer

Mild facial edema with intact voice

Answer

Carbonaceous sputum without respiratory distress

Answer

Mild wheezing responsive to albuterol

Question 5

For a patient with alkali (lye) chemical burns, irrigation with water should be performed for at least:

Accepted Answer

30 minutes or longer

Answer

5 minutes

Answer

10 minutes

Answer

20 minutes

Question 6

A burn patient is receiving colloid resuscitation on day 2. What is the primary rationale for shifting from crystalloid to colloid after 24 hours?

Accepted Answer

Capillary integrity is partially restored, allowing colloids to remain intravascular

Answer

Colloids are less expensive and easier to administer

Answer

Colloids provide better pain control than crystalloids

Answer

Colloids reduce the risk of wound infection

Question 7

Which pain management approach is most appropriate during burn wound dressing changes?

Accepted Answer

Pre-procedural IV opioid with possible anxiolytic, titrated to effect

Answer

Scheduled oral acetaminophen administered 30 minutes before the procedure

Answer

Topical lidocaine applied to all burn wounds prior to dressing

Answer

Non-pharmacologic interventions only to avoid opioid dependence