A patient comes into the emergency department with a chemical burn from contact with lye.Assessment and treatment of this patient will be based on what knowledge regarding this type of burn? (Select all that apply) 1. This is an alkali burn. 2. This type of burn tends to be deeper. 3. This is an acid burn. 4. This type of burn will be easier to neutralize. 5. This type of burn tends to be more superficial. - Correct Answer: 1,2 Rationale: This is an alkali burn which is more difficult to neutralize than an acid burn and tends to have a deeper penetration and be more severe than a burn caused by an acid. A patient arrives at the emergency department with an electrical burn. What assessment questions should the nurse ask in determining the possible severity of the burn injury? Select all that apply. 1. What type of current was involved? 2. How long was the patient in contact with the current? 3. How much voltage was involved? 4. Where was the patient when the burn occurred? 5. What was the point of contact with the current? - Correct Answer: 1,2,3 Rationale: The severity of electrical burns depends on the type and duration of the current and amount of voltage. Location is not important in determining possible severity. Location is not important in determining possible severity. A nurse sees a patient get struck by lightning during a thunder storm on a golf course. What should be the FIRST action by the nurse? 1. Check breathing and circulation. 2. Look for entrance and exit wounds. 3. Cover the patient to prevent heat loss. 4. Move the patient indoors to a dry place. 5. Get the patient up off the ground. - Correct Answer: 1 Rationale: Cardiopulmonary arrest is the most common cause of death from lightening. Respiratory and cardiac status should be assessed immediately to determine if CPR is necessary. All other actions are secondary. A nurse is teaching a class of older adults at a senior center about household cleaning agents that may cause burns. Which agents should be included in these instructions? (Select all that apply) 1. drain cleaners 2. household ammonia 3. oven cleaner 4. toiler bowl cleaner 5. lemon oil furniture polish - Correct Answer: 1,2,3,4 Rationale: All of the products except for the furniture polish can cause burns since they are either alkalis or acids. A patient, experiencing a burn that is pale and waxy with large flat blisters, asks the nurse about the severity of the burn and how long it will take to heal. With which of the following should the nurse respond to this patient? 1. The wound is a deep partial-thickness burn, and will take more than three weeks to heal. 2. The wound is a partial-thickness burn, and could take up to two weeks to heal. 3. The wound is a superficial burn, and will take up to three weeks to heal. 4. The wound is a full-thickness burn and will take one to two weeks to heal. 5. Wound healing is individualized. - Correct Answer: 1 Rationale: The wound described is a deep partial-thickness burn. Deep partialthickness wounds will take more than three weeks to heal. A superficial burn is bright red and moist, and might appear glistening with blister formation. The healing time for this type of wound is within 21 days. A full thickness burn involves all layers of the skin and may extend into the underlying tissue. These burns take many weeks to heal. Stating that wound healing is individualized does not answer the patient's question about the severity of the burn. In order for the nurse to correctly classify a burn injury, which of the following does the nurse need to assess? Select all that apply. 1. the depth of the burn 2. extent of burns on the body 3. the causative agent and the duration of exposure. 4. location of burns on the body