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BURN NCLEX 100% VERIFIED
ANSWERS 2024/
CORRECT STUDY SET
1. A PATIENT IS BROUGHT TO THE EMERGENCY DEPARTMENT FROM THE SITE OF A CHEMICAL FIRE.
THE PARAMEDICS REPORT THAT THE PATIENT HAS A BURN THAT INVOLVES THE EPIDERMIS,
DERMIS, AND THE MUSCLE AND BONE OF THE RIGHT ARM. WHEN YOU ASSESS THE PATIENT HE
VERBALIZES NO PAIN IN THE RIGHT ARM AND THE SKIN APPEARS CHARRED. BASED UPON THESE
ASSESSMENT FINDINGS, WHAT IS THE DEPTH OF THE BURN ON THE PATIENT'S RIGHT ARM?
A) SUPERFICIAL PARTIAL-THICKNESS
B) DEEP PARTIAL-THICKNESS
C) FULL PARTIAL-THICKNESS
D) FULL-THICKNESS
FULL THICKNESS
**A FULL-THICKNESS BURN INVOLVES TOTAL DESTRUCTION OF THE EPIDERMIS AND DERMIS AND, IN
SOME CASES, UNDERLYING TISSUE AS WELL. WOUND COLOR RANGES WIDELY FROM WHITE TO RED,
BROWN, OR BLACK. THE BURNED AREA IS PAINLESS BECAUSE THE NERVE FIBERS ARE DESTROYED.
THE WOUND CAN APPEAR LEATHERY; HAIR FOLLICLES AND SWEAT GLANDS ARE DESTROYED. EDEMA
MAY ALSO BE PRESENT. FULL PARTIAL THICKNESS IS NOT A DEPTH OF BURN. SUPERFICIAL PARTIAL-
THICKNESS BURNS INVOLVE THE EPIDERMIS AND POSSIBLY A PORTION OF THE DERMIS AND THE
PATIENT WILL EXPERIENCE PAIN THAT IS SOOTHED BY COOLING. DEEP PARTIAL-THICKNESS BURNS
INVOLVE THE EPIDERMIS, UPPER DERMIS, AND PORTION OF THE DEEPER DERMIS AND THE PATIENT
WILL COMPLAIN OF PAIN AND SENSITIVITY TO COLD AIR.
2. THE NURSING INSTRUCTOR IS GOING OVER BURN
INJURIES. THE INSTRUCTOR TELLS THE STUDENTS THAT THE NURSING CARE PRIORITIES FOR A
PATIENT WITH A BURN INJURY INCLUDE WOUND CARE, NUTRITIONAL SUPPORT, AND PREVENTION
OF COMPLICATIONS SUCH AS INFECTION. BASED UPON THESE CARE PRIORITIES, THE INSTRUCTOR
IS MOST LIKELY DISCUSSING A PATIENT IN WHAT PHASE OF BURN CARE?
A) EMERGENT
B) IMMEDIATE RESUSCITATIVE
C) ACUTE
D) REHABILITATION
ACUTE
**THE ACUTE OR INTERMEDIATE PHASE OF BURN CARE
FOLLOWS THE EMERGENT/RESUSCITATIVE PHASE AND BEGINS 48 TO 72 HOURS AFTER THE BURN
INJURY. DURING THIS PHASE, ATTENTION IS DIRECTED TOWARD CONTINUED ASSESSMENT AND
MAINTENANCE OF RESPIRATORY AND CIRCULATORY STATUS, FLUID AND ELECTROLYTE BALANCE,
AND GASTROINTESTINAL FUNCTION. INFECTION PREVENTION, BURN WOUND CARE (IE, WOUND
CLEANING, TOPICAL ANTIBACTERIAL THERAPY, WOUND DRESSING, DRESSING CHANGES, WOUND
DEBRIDEMENT, AND WOUND GRAFTING), PAIN MANAGEMENT, AND NUTRITIONAL SUPPORT ARE
PRIORITIES AT THIS STAGE AND ARE DISCUSSED IN DETAIL IN THE FOLLOWING SECTIONS. PRIORITIES
DURING THE EMERGENT OR IMMEDIATE RESUSCITATIVE PHASE INCLUDE FIRST AID, PREVENTION OF
SHOCK AND RESPIRATORY DISTRESS, DETECTION AND TREATMENT OF CONCOMITANT INJURIES, AND
INITIAL WOUND ASSESSMENT AND CARE. THE PRIORITIES DURING THE REHABILITATION PHASE
INCLUDE PREVENTION OF SCARS AND CONTRACTURES, REHABILITATION, FUNCTIONAL AND
COSMETIC RECONSTRUCTION, AND PSYCHOSOCIAL COUNSELING.
3. A PATIENT IN THE EMERGENT/RESUSCITATIVE PHASE OF A BURN INJURY HAS HAD HER LAB
WORK DRAWN. UPON ANALYSIS OF THE PATIENT'S LABORATORY STUDIES, THE NURSE WILL
EXPECT THE RESULTS TO INDICATE WHAT?
A) HYPERKALEMIA, HYPONATREMIA, ELEVATED HEMATOCRIT, AND METABOLIC ACIDOSIS
B) HYPOKALEMIA, HYPERNATREMIA, DECREASED HEMATOCRIT, AND METABOLIC ACIDOSIS
C) HYPERKALEMIA, HYPERNATREMIA, DECREASED HEMATOCRIT, AND METABOLIC ALKALOSIS
D) HYPOKALEMIA, HYPONATREMIA, ELEVATED HEMATROCRIT, AND METABOLIC ALKALOSIS
HYPERKALEMIA, HYPONATREMIA, ELEVATED HEMATOCRIT AND METABOLIC ACIDOSIS
**FLUID AND ELECTROLYTE CHANGES IN THE EMERGENT/RESUSCITATIVE PHASE OF A BURN INJURY
INCLUDE HYPERKALEMIA RELATED TO THE RELEASE OF POTASSIUM INTO THE EXTRACELLULAR FLUID,
HYPONATREMIA FROM LARGE AMOUNT OF SODIUM LOST IN TRAPPED EDEMA FLUID,
HEMOCONCENTRATION THAT LEADS TO AN INCREASED HEMATOCRIT, AND LOSS OF BICARBONATE
IONS THAT RESULTS IN METABOLIC ACIDOSIS.
4. THE PATIENT YOU ARE CARING FOR HAS AN ELECTRICAL BURN AND HAS DEVELOPED THICK
ESCHAR OVER THE BURN WOUND. WHICH OF THE FOLLOWING TOPICAL ANTIBACTERIAL AGENTS
WILL THE NURSE EXPECT THE PHYSICIAN TO ORDER FOR THE WOUND?
A) SILVER SULFADIAZINE 1% (SILVADENE) WATER-SOLUBLE CREAM
B) MAFENIDE ACETATE 10% (SULFAMYLON) HYDROPHILIC-BASED CREAM
C) SILVER NITRATE 0.5% AQUEOUS SOLUTION
D) ACTICOAT
MAFENIDE ACETATE 10% (SULFAMYLON) HYDROPHILIC-BASED CREAM
**MAFENIDE ACETATE 10% HYDROPHILIC-BASED CREAM IS
THE AGENT OF CHOICE FOR ELECTRICAL BURNS BECAUSE OF ITS ABILITY TO PENETRATE THICK
ESCHAR.
5. THE OCCUPATIONAL HEALTH NURSE IS CALLED TO
THE FLOOR OF THE FACTORY WHERE A PATIENT HAS SUSTAINED A FLASH BURN TO THE RIGHT
ARM. THE NURSE ARRIVES AND THE FLAMES HAVE BEEN EXTINGUISHED. THE NEXT STEP IS TO
"COOL THE BURN." HOW WILL THE NURSE COOL THE BURN?
A) APPLY ICE TO THE SITE OF THE BURN FOR 5 TO 10 MINUTES.
B) WRAP THE PATIENT'S AFFECTED EXTREMITY IN ICE UNTIL HELP ARRIVES.
C) APPLY AN OIL-BASED SUBSTANCE OR BUTTER TO THE BURNED AREA UNTIL HELP ARRIVES.
D) WRAP COOL TOWELS AROUND THE AFFECTED EXTREMITY INTERMITTENTLY.
WRAP COOL TOWELS AROUND AFFECTED EXTREMITY INTERMITTANTLY
**ONCE THE BURN HAS BEEN SUSTAINED, THE APPLICATION
OF COOL WATER IS THE BEST FIRST-AID MEASURE. SOAKING THE BURN AREA INTERMITTENTLY IN
COOL WATER OR APPLYING COOL TOWELS GIVES IMMEDIATE AND STRIKING RELIEF FROM PAIN AND
LIMITS LOCAL TISSUE EDEMA AND DAMAGE. HOWEVER, NEVER APPLY ICE DIRECTLY TO THE BURN,
NEVER WRAP THE PERSON IN ICE, AND NEVER USE COLD SOAKS OR DRESSINGS FOR LONGER THAN
SEVERAL MINUTES; SUCH PROCEDURES MAY WORSEN THE TISSUE DAMAGE AND LEAD TO
HYPOTHERMIA IN PEOPLE WITH LARGE BURNS.
6. THE EMERGENCY DEPARTMENT NURSE HAS JUST ADMITTED A PATIENT WITH A BURN. THE
NURSE RECOGNIZES THAT THE PATIENT IS LIKELY TO EXPERIENCE A LOCAL AND SYSTEMIC
RESPONSE TO THE BURN WHEN THE BURN EXCEEDS A TOTAL BODY SURFACE AREA (TBSA) OF
WHAT?
A) 10%
B) 15%
C) 20%
D) 25%
25%
**IF THE BURN EXCEEDS 20% TO 25% TBSA, A NASOGASTRIC TUBE IS INSERTED AND CONNECTED TO
LOW INTERMITTENT SUCTION. OFTEN, PATIENTS WITH LARGE BURNS BECOME NAUSEATED AS A
RESULT OF THE GASTROINTESTINAL EFFECTS OF THE BURN INJURY, SUCH AS PARALYTIC ILEUS, AND
THE EFFECTS OF MEDICATION SUCH AS OPIOIDS. ALL PATIENTS WHO ARE INTUBATED SHOULD HAVE
A NASOGASTRIC TUBE INSERTED TO DECOMPRESS THE STOMACH AND PREVENT VOMITING.
7. THE NURSE ON A BURN UNIT IS CARING FOR A
PATIENT IN THE ACUTE PHASE OF BURN CARE. WHILE PERFORMING AN ASSESSMENT DURING THIS
PHASE OF BURN CARE, THE NURSE RECOGNIZES THAT AIRWAY OBSTRUCTION RELATED TO UPPER
AIRWAY EDEMA MAY OCCUR UP TO HOW LONG AFTER THE BURN INJURY?
A) 2 DAYS
B) 3 DAYS
C) 5 DAYS
D) A WEEK
2 DAYS
**AIRWAY OBSTRUCTION CAUSED BY UPPER AIRWAY EDEMA CAN TAKE AS LONG AS 48 HOURS TO
DEVELOP. CHANGES DETECTED BY X-RAY AND ARTERIAL BLOOD GASES MAY OCCUR AS THE EFFECTS
OF RESUSCITATIVE FLUID AND THE CHEMICAL REACTION OF SMOKE INGREDIENTS WITH LUNG
TISSUES BECOME APPARENT.
8. A PATIENT HAS SUSTAINED A SEVERE BURN
INJURY AND IS THOUGHT TO HAVE AN IMPAIRED INTESTINAL MUCOSAL BARRIER. SINCE THIS
PATIENT IS CONSIDERED AT AN INCREASED RISK FOR INFECTION, WHAT INTERVENTION WILL
ASSIST IN AVOIDING INCREASED INTESTINAL PERMEABILITY AND PREVENT EARLY ENDOTOXIN
TRANSLOCATION?
A) EARLY ENTERAL FEEDING
B) ADMINISTRATION OF PROPHYLACTIC ANTIBIOTICS
C) BOWEL CLEANSING PROCEDURES
D) ADMINISTRATION OF STOOL SOFTENERS
EARLY AND ENTERAL FEEDING
**IF THE INTESTINAL MUCOSA RECEIVES SOME TYPE OF PROTECTION AGAINST PERMEABILITY
CHANGE, INFECTION COULD BE AVOIDED. EARLY ENTERAL FEEDING IS ONE STEP TO HELP AVOID THIS
INCREASED INTESTINAL PERMEABILITY AND PREVENT EARLY ENDOTOXIN TRANSLOCATION.
ANTIBIOTICS ARE SELDOM PRESCRIBED PROPHYLACTICALLY BECAUSE OF THE RISK OF PROMOTING
RESISTANT STRAINS OF BACTERIA. A BOWEL CLEANSING PROCEDURE WOULD NOT BE ORDERED FOR
THIS PATIENT. THE ADMINISTRATION OF STOOL SOFTENERS WOULD NOT ASSIST IN AVOIDING
INCREASED INTESTINAL PERMEABILITY AND PREVENT EARLY ENDOTOXIN TRANSLOCATION.
9. A PATIENT HAS BEEN ADMITTED TO A BURN INTENSIVE CARE UNIT WITH EXTENSIVE FULL-
THICKNESS BURNS OVER 25% OF THE BODY. WHAT WOULD BE THE NURSE'S PRIORITY CONCERN
ABOUT THIS PATIENT?
A) FLUID STATUS
B) RISK OF INFECTION
C) BODY IMAGE
D) LEVEL OF PAIN
FLUID STATUS
**DURING THE EARLY PHASE OF BURN CARE, THE NURSE IS MOST CONCERNED WITH FLUID
RESUSCITATION, TO CORRECT LARGE-VOLUME FLUID LOSS THROUGH THE DAMAGED SKIN.
INFECTION, BODY IMAGE, AND PAIN ARE SIGNIFICANT AREAS OF CONCERN, BUT ARE LESS URGENT
THAN FLUID STATUS.
10. THE NURSE IS PREPARING THE PATIENT FOR MECHANICAL DEBRIDEMENT AND INFORMS THE
PATIENT THAT THIS WILL INVOLVE:
A) A SPONTANEOUS SEPARATION OF DEAD TISSUE FROM THE VIABLE TISSUE
B) USE OF SURGICAL SCISSORS, SCALPELS OR FORCEPS TO REMOVE THE ESCHAR UNTIL THE POINT
OF PAIN AND BLEEDING OCCURS
C) SHAVING OF BURNED SKIN LAYERS UNTIL BLEEDING, VIABLE TISSUE IS REVEALED
D) EARLY CLOSURE OF THE WOUND
USE OF SURGICAL SCISSORS, SCALPELS OR FORCEPS TO REMOVE THE ESCHAR UNTIL THE POINT OF
PAIN AND BLEEDING OCCURS
**MECHANICAL DEBRIDEMENT CAN BE ACHIEVED THROUGH THE USE OF SURGICAL SCISSORS,
SCALPELS, OR FORCEPS TO REMOVE THE ESCHAR UNTIL THE POINT OF PAIN AND BLEEDING OCCURS.
MECHANICAL DEBRIDEMENT CAN ALSO BE ACCOMPLISHED THROUGH THE USE OF TOPICAL
ENZYMATIC DEBRIDEMENT AGENTS. THE SPONTANEOUS SEPARATION OF DEAD TISSUE FROM THE
VIABLE TISSUE IS AN EXAMPLE OF NATURAL DEBRIDEMENT. EARLY WOUND CLOSURE AND SHAVING
THE BURNED SKIN LAYERS ARE EXAMPLES OF SURGICAL DEBRIDEMENT.
11. A PATIENT WITH A PARTIAL-THICKNESS BURN INJURY HAD BIOBRANE APPLIED 2 WEEKS AGO.
THE NURSE NOTICES THAT THE BIOBRANE IS SEPARATING FROM THE BURN WOUND. WHAT IS THE
APPROPRIATE NURSING INTERVENTION WHEN THIS SEPARATION OCCURS?
A) REINFORCE THE BIOBRANE DRESSING WITH ANOTHER PIECE OF BIOBRANE.
B) REMOVE THE BIOBRANE DRESSING AND APPLY A NEW DRESSING.
C) TRIM AWAY THE SEPARATED BIOBRANE.
D) NOTIFY THE PHYSICIAN FOR FURTHER EMERGENCY RELATED ORDERS.
TRIM AWAY THE SEPARATED BIOBRANE
**AS THE BIOBRANE GRADUALLY SEPARATES, IT IS TRIMMED, LEAVING A HEALED WOUND. WHEN
THE BIOBRANE DRESSING ADHERES TO THE WOUND, THE WOUND REMAINS STABLE AND THE
BIOBRANE CAN REMAIN IN PLACE FOR 3 TO 4 WEEKS. YOU WOULD NOT REINFORCE THE BIOBRANE,
OR REMOVE IT AND APPLY A NEW DRESSING. NOR WOULD YOU NOTIFY THE PHYSICIAN FOR
FURTHER ORDERS.
12. AN EMERGENCY DEPARTMENT NURSE LEARNS FROM THE PARAMEDICS THAT THEY ARE
TRANSPORTING A PATIENT WHO HAS SUFFERED INJURY FROM A SCALD FROM A HOT KETTLE.
WHAT FACTORS DOES THE NURSE KNOW ARE CONSIDERED WHEN DETERMINING THE DEPTH OF
BURN?
A) CAUSATIVE AGENT
B) VISUAL OBSERVATION OF BURNED AREA
C) AREA OF BODY BURNED
D) CIRCUMSTANCES OF THE ACCIDENT
CAUSATIVE AGENT
**THE FOLLOWING FACTORS ARE CONSIDERED IN DETERMINING THE DEPTH OF A BURN: HOW THE
INJURY OCCURRED, CAUSATIVE AGENT (SUCH AS FLAME OR SCALDING LIQUID), TEMPERATURE OF
THE BURNING AGENT, DURATION OF CONTACT WITH THE AGENT, AND THICKNESS OF THE SKIN. TO
DETERMINE THE DEPTH OF THE BURN YOU DO NOT TAKE INTO CONSIDERATION YOU VISUAL
OBSERVATION OF THE BURNED AREA, HOW MUCH OF THE BODY IS BURNED, OR THE
CIRCUMSTANCES OF THE ACCIDENT.
13. THE NURSE IS CARING FOR A PATIENT WHO HAS SUSTAINED A DEEP PARTIAL-THICKNESS BURN
INJURY. IN PRIORITIZING THE NURSING DIAGNOSES FOR THE PLAN OF CARE, THE NURSE WILL GIVE
THE HIGHEST PRIORITY TO WHAT NURSING DIAGNOSIS?
A) ACTIVITY INTOLERANCE
B) ANXIETY
C) IMPAIRED NUTRITION: LESS THAN BODY REQUIREMENTS
D) ACUTE PAIN
ACUTE PAIN
**PAIN IS INEVITABLE DURING RECOVERY FROM ANY BURN INJURY. PAIN IN THE BURN PATIENT HAS
BEEN DESCRIBED AS ONE OF THE MOST SEVERE CAUSES OF ACUTE PAIN. MANAGEMENT OF THE
OFTEN-SEVERE PAIN IS ONE OF THE MOST DIFFICULT CHALLENGES FACING THE BURN TEAM. WHILE
THE OTHER NURSING DIAGNOSES LISTED ARE VALID DIAGNOSES, THE PRESENCE OF PAIN MAY
CONTRIBUTE TO THESE DIAGNOSES AND MANAGEMENT OF THE PATIENT'S PAIN IS PRIORITY AS IT
MAY HAVE A DIRECT CORRELATION TO THESE NURSING DIAGNOSES.
14. THE TRIAGE NURSE IN THE EMERGENCY DEPARTMENT (ED) RECEIVES A PHONE CALL FROM A
FRANTIC FATHER WHO SAW HIS 4-YEAR-OLD CHILD TIP A POT OF BOILING WATER ONTO HER
CHEST. THE FATHER HAS CALLED AN AMBULANCE. WHAT WOULD THE NURSE IN THE ED RECEIVING
THE CALL INSTRUCT THE FATHER TO DO?
A) COVER THE BURN WITH ICE AND SECURE WITH A TOWEL.
B) APPLY BUTTER TO THE AREA THAT IS BURNED.
C) IMMERSE THE CHILD IN A COOL BATH.
D) AVOID TOUCHING THE BURNED AREA AND SEEK MEDICAL ATTENTION.
IMMERSE THE CHILD IN A COOL BATH
**AFTER THE FLAMES OR HEAT SOURCE HAVE BEEN REMOVED OR EXTINGUISHED, THE BURNED
AREA AND ADHERENT CLOTHING ARE SOAKED WITH COOL WATER BRIEFLY TO COOL THE WOUND
AND HALT THE BURNING PROCESS. COOL WATER IS THE BEST FIRST-AID MEASURE. YOU DO NOT PUT
ICE ON THE BURN, NOR DO YOU PUT BUTTER ON THE BURN. YOU DO NOT NEED TO AVOID
TOUCHING THE BURN.
15. THE NURSE IS TEACHING A PATIENT WITH A PARTIAL-THICKNESS WOUND HOW TO WEAR HIS
ELASTIC PRESSURE GARMENT. HOW WOULD THE NURSE INSTRUCT THE PATIENT TO WEAR THIS
GARMENT?
A) 4 TO 6 HOURS A DAY FOR 6 MONTHS
B) DAILY FOR 2 TO 3 MONTHS AFTER THE INJURY
C) CONTINUOUSLY
D) AT NIGHT WHILE SLEEPING FOR A YEAR AFTER THE INJURY
CONTINUOUSLY
GARMENTS ARE WORN CONTINUOUSLY (IE, 23 HOURS A DAY).
16. A PATIENT IS BROUGHT TO THE ED BY PARAMEDICS WHO REPORT THE PATIENT HAS PARTIAL-
THICKNESS BURNS ON THE CHEST AND LEGS. THE PATIENT HAS ALSO SUFFERED SMOKE
INHALATION. WHAT IS A PRIORITY IN THE CARE OF A PATIENT WHO HAS BEEN BURNED AND
SUFFERED SMOKE INHALATION?
A) PAIN
B) FLUID BALANCE
C) ANXIETY AND FEAR
D) AIRWAY MANAGEMENT
AIRWAY MANAGEMENT
**SYSTEMIC THREATS FROM A BURN ARE THE GREATEST THREAT TO LIFE. THE ABCS OF ALL TRAUMA
CARE APPLY DURING THE EARLY POSTBURN PERIOD. WHILE ALL OPTIONS SHOULD BE ADDRESSED,
PAIN, FLUID BALANCE, AND ANXIETY AND FEAR DO NOT TAKE PRECEDENCE OVER AIRWAY
MANAGEMENT.
17. A PATIENT ARRIVES IN THE EMERGENCY DEPARTMENT AFTER BEING BURNED IN A HOUSE FIRE.
THE PATIENT'S BURNS COVER THE FACE AND THE LEFT FOREARM. WHAT PERCENTAGE OF BURN
DOES THE PATIENT HAVE?
A) 10%
B) 25%
C) 9%
D) 18%
18%
**WHEN ESTIMATING THE PERCENTAGE OF BODY AREA OR BURN SURFACE AREA THAT HAS BEEN
BURNED, THE RULE OF NINES IS USED: THE FACE IS 9%, AND THE FOREARM IS 9% FOR A TOTAL OF
18% IN THIS PATIENT.
18. THE NURSING INSTRUCTOR IS TEACHING ABOUT THE EMERGENT/RESUSCITATIVE PHASE OF
BURN INJURY. DURING THIS PHASE, WHAT WOULD THE NURSING INSTRUCTOR TELL THE STUDENTS
THEY SHOULD CLOSELY MONITOR IN THE LABORATORY VALUES?
A) SODIUM DEFICIT
B) BLEEDING TIME
C) POTASSIUM DEFICIT
D) DECREASED HEMATOCRIT
SODIUM DEFICIT
**ANTICIPATED FLUID AND ELECTROLYTE CHANGES THAT OCCUR DURING THE
EMERGENT/RESUSCITATIVE PHASE OF BURN INJURY INCLUDE POTASSIUM EXCESS, SODIUM DEFICIT,
BASE-BICARBONATE DEFICIT, AND ELEVATED HEMATOCRIT.
19. THE NURSING STUDENTS ARE DOING CLINICAL HOURS ON THE BURN UNIT. A NURSE IS
DEVELOPING A CARE PLAN FOR A PATIENT WITH A PARTIAL-THICKNESS BURN, AND DETERMINES
THAT AN APPROPRIATE GOAL IS TO MAINTAIN POSITION OF JOINTS IN ALIGNMENT. A NURSING
STUDENT ASKS WHY THIS GOAL IS IMPORTANT WHEN THE PATIENT IS FIGHTING FOR HIS LIFE.
WHAT SHOULD THE BURN NURSE RESPOND?
A) TO PREVENT NEUROPATHIES
B) TO PREVENT WOUND BREAKDOWN
C) TO PREVENT CONTRACTURES
D) TO PREVENT HETEROTOPIC OSSIFICATION
PREVENT CONTRACTURES
**TO PREVENT THE COMPLICATION OF CONTRACTURES THE NURSE WILL ESTABLISH A GOAL TO
MAINTAIN POSITION OF JOINTS IN ALIGNMENT. GENTLE RANGE OF MOTION EXERCISES AND A
CONSULT TO PT AND OT FOR EXERCISES AND POSITIONING RECOMMENDATIONS ARE ALSO
APPROPRIATE INTERVENTIONS FOR THE PREVENTION OF CONTRACTURES.
20. GRAFTS TAKEN FROM ONE BODY AND GRAFTED ONTO ANOTHER BODY ARE CALLED WHAT?
A) ALLOGRAFT
B) HOMOGRAFT
C) HETEROGRAFT
D) AUTOGRAFT
HOMOGRAFT
**HOMOGRAFTS ARE GRAFTS DERIVED FROM ONE PERSON'S BODY AND USED ON ANOTHER PART
OF A DIFFERENT PERSON'S BODY.
21. A NURSE TAKING CARE OF A BURN PATIENT IS ASKED WHY THE PATIENT IS LOSING SO MUCH
WEIGHT. WHAT WOULD BE THE NURSE'S MOST APPROPRIATE ANSWER?
A) "YOUR BODY HAS BUILT UP EXTRA FAT DEPOSITS EVEN THOUGH YOU HAVEN'T BEEN EATING
VERY MUCH."
B) "YOUR BODY HAS USED YOUR FAT DEPOSITS FOR FUEL BECAUSE YOU HAVEN'T BEEN EATING
VERY MUCH."
C) YOUR RESERVE FAT DEPOSITS HAVE BEEN CATABOLIZED BECAUSE YOU HAVE BEEN EATING SO
MUCH."
D) YOU HAVE LOST FLUIDS AND YOU HAVEN'T EATEN VERY MUCH."
YOUR BODY HAS USED YOUR FAT DEPOSITS FOR FUEL BECAUSE YOU HAVEN'T BEEN EATING VERY
MUCH
**PATIENTS LOSE A GREAT DEAL OF WEIGHT DURING RECOVERY FROM SEVERE BURNS. RESERVE FAT
DEPOSITS ARE CATABOLIZED, FLUIDS ARE LOST, AND CALORIC INTAKE MAY BE LIMITED.
22. WHERE DO MOST BURN INJURIES OCCUR?
A) ON THE ROAD
B) AT HOME
C) AT WORK
D) RECREATIONAL ACCIDENTS
AT HOME
** OF THOSE PEOPLE ADMITTED TO BURN CENTERS, 47% ARE INJURED AT HOME, 27% ON THE
ROAD, 8% ARE OCCUPATIONAL, 5% ARE RECREATIONAL, AND THE REMAINING 13% ARE FROM
OTHER SOURCES.
23. A 45-YEAR-OLD MAN IS BROUGHT IN BY LIFE-FLIGHT AFTER A MOTOR VEHICLE ACCIDENT IS
WHICH HE WAS TRAPPED IN A BURNING VEHICLE. THE BURN TEAM IS ESTIMATING THE PATIENT'S
LIKELIHOOD OF SURVIVAL BASED ON THE SEVERITY OF THE BURN INJURY. THE EMERGENCY
DEPARTMENT NURSE KNOWS THAT THE SEVERITY OF THE INJURY IS BASED ON WHAT FACTORS?
(MARK ALL THAT APPLY.)
A) AGE
B) DEPTH OF THE BURN
C) PRESENCE OF INHALATION INJURY
D) FAMILY SUPPORT
E) PSYCHOLOGICAL STATE OF THE PATIENT
A, B, C
AGE, DEPTH OF THE BURN, PRESENCE OF INHALATION INJURY
**THE SEVERITY OF EACH BURN INJURY IS DETERMINED BY MULTIPLE FACTORS THAT WHEN
ASSESSED HELP THE BURN TEAM ESTIMATE THE LIKELIHOOD THAT A PATIENT WILL SURVIVE AND
PLAN THE CARE FOR EACH PATIENT. THESE FACTORS INCLUDE AGE OF THE PATIENT; DEPTH OF THE
BURN; AMOUNT OF SURFACE AREA OF THE BODY THAT IS BURNED; PRESENCE OF INHALATION
INJURY; PRESENCE OF OTHER INJURIES; LOCATION OF THE INJURY IN SPECIAL CARE AREAS SUCH AS
THE FACE, PERINEUM, HANDS, AND FEET; AND PRESENCE OF A PAST MEDICAL HISTORY. OPTIONS D
AND E ARE NOT FACTORS THAT BEAR ON THE SEVERITY OF THE INJURY.
24. YOU HAVE JUST REPORTED TO THE BURN UNIT TO START YOUR SHIFT. FOUR NEW PATIENTS
HAVE BEEN ADMITTED IN THE PAST 12 HOURS. WHICH PATIENT IS MOST LIKELY TO HAVE LIFE-
THREATENING COMPLICATIONS?
A) A 4-YEAR-OLD SCALD VICTIM BURNED OVER 24% OF THE BODY
B) A 2 7 - YEAR-OLD HEALTHY MALE BURNED OVER 36% OF HIS BODY IN A CAR ACCIDENT
C) A 39-YEAR-OLD FEMALE WITH MYASTHENIA GRAVIS BURNED OVER 18% OF HER BODY
D) A 60-YEAR-OLD MALE BURNED OVER 16% OF HIS BODY IN A BRUSH FIRE
A 4 YEAR OLD SCALD VICTIM BURNED OVER 24% FO THE BODY
**YOUNG CHILDREN AND THE ELDERLY CONTINUE TO HAVE INCREASED MORBIDITY AND MORTALITY
WHEN COMPARED TO OTHER AGE GROUPS WITH SIMILAR INJURIES AND PRESENT A CHALLENGE
FOR BURN CARE. THIS IS AN IMPORTANT FACTOR WHEN DETERMINING THE SEVERITY OF INJURY
AND POSSIBLE OUTCOME FOR THE PATIENT.
25. A BURN PATIENT IS BROUGHT TO THE EMERGENCY DEPARTMENT. THE NURSE KNOWS THAT
THE FIRST SYSTEMIC EVENT AFTER A MAJOR BURN INJURY IS WHAT?
A) HEMODYNAMIC INSTABILITY
B) METABOLIC ACIDOSIS
C) HYPOVOLEMIA
D) HYPERKALCEMIA
HEMODYNAMIC INSTABILITY
**THE INITIAL SYSTEMIC EVENT AFTER A MAJOR BURN INJURY IS HEMODYNAMIC INSTABILITY,
WHICH RESULTS FROM LOSS OF CAPILLARY INTEGRITY AND A SUBSEQUENT SHIFT OF FLUID,
SODIUM, AND PROTEIN FROM THE INTRAVASCULAR SPACE INTO THE INTERSTITIAL SPACES. OPTIONS
B, C, AND D OCCUR, THEY ARE JUST NOT THE FIRST EVENT TO HAPPEN.
26. A BURN VICTIM IS ADMITTED TO THE INTENSIVE CARE UNIT TO STABILIZE AND BEGIN FLUID
RESUSCITATION BEFORE TRANSPORT TO THE BURN CENTER. IF INADEQUATE FLUID RESUSCITATION
OCCURS WHAT HAPPENS TO THE PATIENT?
A) BECOMES UNRESPONSIVE
B) DISTRIBUTIVE SHOCK
C) DEATH
D) HYPOVOLEMIC SHOCK
DISTRIBUTIVE SHOCK
PROMPT FLUID RESUSCITATION MAINTAINS THE BLOOD PRESSURE IN THE LOW-NORMAL RANGE
AND IMPROVES CARDIAC OUTPUT. DESPITE ADEQUATE FLUID RESUSCITATION, CARDIAC FILLING
PRESSURES (CENTRAL VENOUS PRESSURE, PULMONARY ARTERY PRESSURE, AND PULMONARY
ARTERY WEDGE PRESSURE) REMAIN LOW DURING THE BURN-SHOCK PERIOD. IF INADEQUATE FLUID
RESUSCITATION OCCURS, DISTRIBUTIVE SHOCK OCCURS
27. AN EMERGENCY DEPARTMENT NURSE HAS JUST RECEIVED A BURN VICTIM BROUGHT IN BY
AMBULANCE. THE PARAMEDICS HAVE STARTED A LARGE-BORE IV AND COVERED THE BURN IN
COOL TOWELS. THE BURN IS ESTIMATED AS COVERING 24% OF THE PATIENT'S BODY. THE NURSE
KNOWS THAT PATHOPHYSIOLOGIC CHANGES RESULTING FROM MAJOR BURNS DURING THE
INITIAL BURN-SHOCK PERIOD INCLUDE WHAT?
A) HYPER-DYNAMIC ANABOLISM
B) HYPER-METABOLIC CATABOLISM
C) DECREASED CARDIAC OUTPUT
D) ORGAN HYPER-FUNCTION
DECREASED CARDIAC OUTPUT
**PATHOPHYSIOLOGIC CHANGES RESULTING FROM MAJOR BURNS DURING THE INITIAL BURN-
SHOCK PERIOD INCLUDE TISSUE HYPO-PERFUSION AND ORGAN HYPO-FUNCTION SECONDARY TO
DECREASED CARDIAC OUTPUT, FOLLOWED BY A HYPER-DYNAMIC AND HYPER-METABOLIC PHASE.
OPTIONS A AND B ARE DISTRACTERS FOR THIS QUESTION.
28. A MALE PATIENT, 16 YEARS OLD, COMES TO THE EMERGENCY DEPARTMENT (ED) AFTER
BURNING HIS RIGHT HAND AND ARM WHILE WORKING ON A FRIEND'S CAR. THE INJURY IS
DETERMINED TO BE A SUPERFICIAL BURN AND IT IS TREATED. WHAT WOULD THE NURSE TEACH
THE PATIENT BEFORE DISCHARGING HIM HOME TO RETURN ON A DAILY BASIS FOR DRESSING
CHANGES?
A) "AS YOUR ARM SWELLS, PUSH ON YOUR FINGERNAILS. IF IT TAKES LONGER THAN 5 SECONDS
FOR THEM TO GET PINK COME BACK TO THE ED."
B) "YOU SHOULD BE FINE UNTIL YOU COME BACK TOMORROW FOR YOUR DRESSING CHANGE."
C) "DRINK LOTS OF FLUIDS AND ELEVATE THE ARM."
D) "THE BURNED AREA WILL START TO SWELL IN ABOUT 4 HOURS AND BLISTERS WILL FORM. IF
YOU THINK THE DRESSING IS TOO TIGHT COME BACK TO THE ED."
"THE BURNED AREA WILL START TO SWELL IN ABOUT 4 HOURS AND BLISTERS WILL FORM. IF YOU
THINK THE DRESSING IS TOO TIGHT COME BACK TO THE ED."
**IN A SUPERFICIAL BURN THERE IS LOSS OF CAPILLARY INTEGRITY AND FLUID IS LOCALIZED TO THE
BURN ITSELF, RESULTING IN BLISTER FORMATION AND EDEMA ONLY IN THE AREA OF INJURY.
CAPILLARY REFILL SHOULD BE 3 SECONDS OR LESS. OPTIONS B AND C ARE DISTRACTERS FOR THIS
QUESTION.
29. A PATIENT IS ADMITTED TO THE BURN UNIT AFTER BEING TRANSPORTED FROM A FACILITY
1000 MILES AWAY. THE PATIENT HAS BURNS TO THE GROIN AREA AND BOTH LEGS. THE BURNS TO
THE LOWER LEGS ARE CIRCUMFERENTIAL. THE NURSE KNOWS TO MONITOR CLOSELY FOR WHAT
AS THE EDEMA IN THIS PATIENT INCREASES?
A) ISCHEMIA
B) ESCHAR
C) HYPER-PROFUSION TO THE BURNED AREA
D) INCREASED FLUID LOSS THROUGH THE BURNED AREA
ISCHEMIA
**AS EDEMA INCREASES, PRESSURE ON SMALL BLOOD VESSELS AND NERVES IN THE DISTAL
EXTREMITIES CAUSES AN OBSTRUCTION OF BLOOD FLOW AND CONSEQUENT ISCHEMIA. THIS
COMPLICATION IS SIMILAR TO COMPARTMENT SYNDROME. THE PHYSICIAN MAY NEED TO PERFORM
AN ESCHAROTOMY, A SURGICAL INCISION INTO THE ESCHAR (DEVITALIZED TISSUE RESULTING FROM
A BURN), TO RELIEVE THE CONSTRICTING EFFECT OF THE BURNED TISSUE.
30. A NURSE ON THE BURN UNIT IS CARING FOR A PATIENT WHO HAS GONE INTO THE ACUTE
PHASE OF HER BURN. WHAT WOULD BE IMPORTANT FOR THE NURSE TO MONITOR THE PATIENT
FOR?
A) HYPOMETABOLISM
B) HYPONATREMIA
C) HYPERKALEMIA
D) HYPOGLYCEMIA
HYPONATREMIA
**HYPONATREMIA IS COMMON DURING THE FIRST WEEK OF THE ACUTE PHASE, AS WATER SHIFTS
FROM THE INTERSTITIAL SPACE TO THE VASCULAR SPACE. HYPERMETABOLISM CAN OCCUR UP TO 1
YEAR AFTER THE BURN. HYPERKALEMIA OCCURS IN THE EMERGENT PHASE OF THE BURN. IN A BURN
PATIENT THERE IS A HYPERGLYCEMIC RESPONSE, NOT A HYPOGLYCEMIC RESPONSE.
31. THE ACUTE PHASE OF THE BURN BEGINS 48 TO 72 HOURS AFTER THE BURN. WHAT BEGINS AT
THIS TIME?
A) CARDIAC OUTPUT DECREASES
B) RENAL FAILURE BEGINS
C) DIURESIS
D) FLUID MOVES FROM INTRAVASCULAR COMPARTMENT TO INTERSTITIAL SPACES
DIURESIS
**AS CAPILLARIES REGAIN INTEGRITY, 48 OR MORE HOURS AFTER THE BURN, FLUID MOVES FROM
THE INTERSTITIAL TO THE INTRAVASCULAR COMPARTMENT AND DIURESIS BEGINS. CARDIAC
OUTPUT SHOULD INCREASE AND RENAL OUTPUT SHOULD INCREASE.
32. AS THE PATIENT BEGINS THE ACUTE PHASE OF A BURN, CAUTIOUS ADMINISTRATION OF FLUIDS
AND ELECTROLYTES CONTINUES. THE NURSE KNOWS THAT THIS CAUTION IS BECAUSE OF WHAT?
(MARK ALL THAT APPLY.)
A) PATIENT IS CONSIDERED IN CRITICAL CONDITION
B) CARDIAC FUNCTION IS DECREASED
C) PATIENT'S PHYSIOLOGIC RESPONSES TO THE BURN INJURY
D) LOSSES OF FLUID FROM LARGE BURN WOUNDS
E) SHIFTS IN FLUID FROM THE INTERSTITIAL TO THE INTRAVASCULAR COMPARTMENT
C) PATIENT'S PHYSIOLOGIC RESPONSES TO THE BURN INJURY
D) LOSSES OF FLUID FROM LARGE BURN WOUNDS
E) SHIFTS IN FLUID FROM THE INTERSTITIAL TO THE INTRAVASCULAR COMPARTMENT
**CAUTIOUS ADMINISTRATION OF FLUIDS AND ELECTROLYTES CONTINUES DURING THIS PHASE OF
BURN CARE BECAUSE OF THE SHIFTS IN FLUID FROM THE INTERSTITIAL TO THE INTRAVASCULAR
COMPARTMENT, LOSSES OF FLUID FROM LARGE BURN WOUNDS, AND THE PATIENT'S PHYSIOLOGIC
RESPONSES TO THE BURN INJURY.
33. WHAT IS THE NURSING GOAL DURING THE ACUTE PHASE OF A BURN?
A) TO ULTIMATELY PREVENT OR CONTROL INFECTION IN THE BURN POPULATION
B) TO PREVENT HYPERVOLEMIA IN THE BURN POPULATION
C) TO MANAGE PAIN IN A PROACTIVE WAY FOR THE PATIENT'S COMFORT
D) TO PROVIDE EMOTIONAL SUPPORT AS THE CHANGES IN BODY IMAGE BECOME INTERNALIZED
IN THE PATIENT
TO ULTIMATELY PREVENT OR CONTROL INFECTION IN THE BURN POPULAITON
**THE NURSING GOAL IS TO PROVIDE PROTECTION AND SAFETY IN THE PATIENTS' ENVIRONMENT TO
ULTIMATELY PREVENT OR CONTROL INFECTION IN THE BURN POPULATION. THIS MAKES OPTIONS B,
C, AND D INCORRECT.
34. A NURSE IS CARING FOR A PATIENT DURING THE ACUTE PHASE OF THE BURN. THE NURSE
KNOWS HE IS RESPONSIBLE FOR WHAT?
A) RESTRICTING VISITORS TO PREVENT INFECTION
B) CLOSELY SCRUTINIZING THE BURN WOUND TO DETECT EARLY SIGNS OF INFECTION
C) CLEANING THE PATIENT'S ROOM
D) MAINTAINING THE PATIENT IN A STERILE ENVIRONMENT
CLOSELY SCRUTINIZING THE BURN WOUND TO DETECT EARLY SIGNS OF INFECTION
**THE NURSE IS RESPONSIBLE FOR PROVIDING A CLEAN AND SAFE ENVIRONMENT AND FOR CLOSELY
SCRUTINIZING THE BURN WOUND TO DETECT EARLY SIGNS OF INFECTION. VISITORS ARE NOT
RESTRICTED TO A BURN PATIENT. THE NURSE DOES NOT CLEAN THE PATIENT'S ROOM. THE PATIENT IS
MAINTAINED IN A CLEAN ENVIRONMENT, NOT A STERILE ENVIRONMENT.
35. IT IS TIME TO CHANGE THE DRESSINGS ON A BURN PATIENT. WHAT DOES THE NURSE DO TO
REDUCE PAIN AND DISCOMFORT AT THIS TIME?
A) THE NURSE LETS THE PATIENT DECIDE ON WHEN TO CHANGE THE DRESSING.
B) THE NURSE SKIP'S THE DRESSING CHANGE IF THE PATIENT IS REALLY UNCOMFORTABLE.
C) THE NURSE CHANGES DRESSINGS AS QUICKLY AS POSSIBLE.
D) THE NURSE LETS THE AIDE DO THE PAINFUL PART OF THE DRESSING CHANGE.
THE NURSE CHANGES DRESSINGS AS QUICKLY AS POSSIBLE
**THE NURSE WORKS QUICKLY TO COMPLETE TREATMENTS AND DRESSING CHANGES TO REDUCE
PAIN AND DISCOMFORT. LETTING THE PATIENT DECIDE THE TIME OF THE DRESSING CHANGE LETS
THE PATIENT FEEL MORE IN CONTROL. IT DOESN'T REDUCE PAIN AND DISCOMFORT. THE NURSE
SHOULD NEVER SKIP AN ORDERED DRESSING CHANGE. YOU NEVER DELEGATE A DRESSING CHANGE
ON A BURN PATIENT.
36. YOU ARE CARING FOR A BURN PATIENT WHO IS IN THE LATER STAGES OF THE ACUTE PHASE OF
THE BURN INJURY. WHAT IS AN IMPORTANT FACTOR IN YOUR CARE OF THE PATIENT?
A) IMMOBILIZING THE PATIENT
B) MAINTAINING SPLINTS AND FUNCTIONAL DEVICES
C) MAINTAINING ONGOING DISCUSSION ABOUT THE PATIENT WITH A PSYCHOLOGIST
D) PREVENTION OF DVT
PREVENTION OF DVT
**PREVENTION OF DEEP VEIN THROMBOSIS (DVT) IS AN IMPORTANT FACTOR IN CARE. EARLY
MOBILIZATION OF THE PATIENT IS IMPORTANT. THE NURSE MONITORS THE SPLINTS AND
FUNCTIONAL DEVICES, BUT DOES NOT MAINTAIN THEM. THE NURSE DOES NOT MAINTAIN
DISCUSSION WITH A PSYCHOLOGIST ABOUT THE PATIENT.
37. YOUR PATIENT IS IN THE ACUTE PHASE OF A BURN INJURY. ONE OF THE NURSING DIAGNOSES
ON THE PLAN OF CARE IS INEFFECTIVE COPING DUE TO BURN INJURY AND ALTERED BODY IMAGE.
WHAT INTERVENTIONS CAN YOU INSTITUTE TO HELP THIS PATIENT COPE MORE EFFECTIVELY?
(MARK ALL THAT APPLY.)
A) PROMOTE TRUTHFUL COMMUNICATION
B) ALLOWING THE PATIENT TO SET SPECIFIC EXPECTATIONS
C) ASSIST THE PATIENT IN PRACTICING APPROPRIATE STRATEGIES
D) STOP THE PATIENT'S MANIPULATION OF STAFF
E) GIVE POSITIVE REINFORCEMENT WHEN APPROPRIATE
A,C,E
PROMOTE TRUTHFUL COMUNICATION, ASSIST THE PATIENT IN PRACTICING APPROPRIATE
STRATEGIES, GIVE POSITIVE REINFORCEMENT WHEN APPROPRIATE
**THE NURSE CAN ASSIST THE PATIENT TO DEVELOP EFFECTIVE COPING STRATEGIES BY SETTING
SPECIFIC EXPECTATIONS FOR BEHAVIOR, PROMOTING TRUTHFUL COMMUNICATION TO BUILD TRUST,
HELPING THE PATIENT PRACTICE APPROPRIATE STRATEGIES, AND GIVING POSITIVE REINFORCEMENT
WHEN APPROPRIATE. THE NURSE SHOULD SET SPECIFIC EXPECTATIONS, NOT THE PATIENT. EACH
STAFF MEMBER NEEDS TO STOP THE MANIPULATION OF THE PATIENT WITH THE INVOLVED STAFF
MEMBER.
38. WHAT IS A PRIORITY IN THE REHABILITATION PHASE OF THE BURN INJURY?
A) MONITORING FLUID AND ELECTROLYTE IMBALANCES
B) PATIENT AND FAMILY EDUCATION
C) ASSESSING WOUND HEALING
D) DOCUMENTING FAMILY SUPPORT
PATIENT AND FAMILY EDUCATION
**PATIENT AND FAMILY EDUCATION IS A PRIORITY IN THE ACUTE AND REHABILITATION PHASES.
THERE SHOULD BE NO FLUID AND ELECTROLYTE IMBALANCES IN THE REHABILITATION PHASE.
ASSESSING WOUND HEALING IS AN ONGOING FUNCTION BUT IT IS NOT A PRIORITY IN THE
REHABILITATION PHASE. DOCUMENTING FAMILY SUPPORT IS NOT A PRIORITY IN THE
REHABILITATION PHASE.
39. A BURN PATIENT IS TRANSITIONING FROM THE ACUTE PHASE OF THE INJURY TO THE
REHABILITATION PHASE. THE PATIENT TELLS THE NURSE "I CAN'T WAIT TO HAVE SURGERY TO
RECONSTRUCT MY FACE SO I LOOK NORMAL AGAIN." WHAT WOULD BE THE NURSE'S BEST
RESPONSE?
A) "YOU KNOW, NOTHING CAN BE DONE UNTIL YOUR SCARS MATURE. IT IS SOMETHING THE
DOCTOR WILL TALK TO YOU ABOUT IN THE FIRST FEW YEARS AFTER DISCHARGE."
B) "THAT IS SOMETHING FOR YOU TO TALK TO YOUR DOCTOR ABOUT."
C) "I KNOW THIS IS REALLY IMPORTANT TO YOU, BUT YOU HAVE TO REALIZE THAT NO ONE CAN
MAKE YOU LOOK LIKE YOU USED TO."
D) "YOU WILL HAVE MOST OF THESE SCARS FOR THE REST OF YOUR LIFE."
YOU KNOW, NOTHING CAN BE DONE UNTIL YOUR SCARS MATURE. IT IS SOMETHING THE DOCTOR
WILL TALK TO YOU ABOUT IN THE FIRST FEW YEARS AFTER DISCHARGE
**BURN RECONSTRUCTION IS A TREATMENT OPTION AFTER ALL SCARS HAVE MATURED AND IS
DISCUSSED WITHIN THE FIRST FEW YEARS AFTER INJURY. OPTIONS B AND C ARE TRUE STATEMENTS
BUT NOT THE BEST STATEMENTS. THE NURSE DOES NOT KNOW FOR SURE HOW MUCH
RECONSTRUCTION CAN BE DONE.
40. A PATIENT IN THE REHABILITATION PHASE OF THE BURN INJURY IS SETTING GOALS WITH THE
NURSE. WHAT GOALS WOULD BE APPROPRIATE AT THIS TIME? (MARK ALL THAT APPLY.)
A) INCREASED PARTICIPATION IN ACTIVITIES OF DAILY LIVING
B) INCREASED UNDERSTANDING OF THE PLANNED FOLLOW-UP CARE
C) INCREASED CONTROL OF TREATMENT
D) ADJUSTMENT TO ALTERATIONS IN LIFESTYLE
E) RECOGNITION OF COMPLICATIONS
A, B, D
INCREASED PARTICIPATION IN ADLS, INCREASED UNDERSTANDING OF THE PLANNED FOLLOW-UP
CARE, ADJUSTMENT TO ALTERATIONS IN LIFESTYLE
**THE MAJOR GOALS FOR THE PATIENT INCLUDE INCREASED PARTICIPATION IN ACTIVITIES OF DAILY
LIVING; INCREASED UNDERSTANDING OF THE INJURY, TREATMENT, AND PLANNED FOLLOW-UP CARE;
ADAPTATION AND ADJUSTMENT TO ALTERATIONS IN BODY IMAGE, SELF-CONCEPT, AND LIFESTYLE;
AND ABSENCE OF COMPLICATIONS.
