Interventions for Clients with BurnsMULTIPLE CHOICE1.The newly admitted client has burns on both legs. The burned areasappear white and leather-like. No blisters or bleeding are present, and the clientstates that he or she has little pain. How should this injury be categorized?A.SuperficialB.Partial-thickness superficialC.Partial-thickness deepD.Full thicknessANS:AThe characteristics of the wound meet the criteria for a full-thickness injury(color that is black, brown, yellow, white or red; no blisters; pain minimal;outer layer firm and inelastic).DIF:Cognitive Level: Application or higherTOP:Nursing Process Step: AssessmentMSC:Client Needs Category: Safe, Effective Care Environment/PhysiologicalIntegrity;2.The newly admitted client has a large burned area on the right arm. Theburned area appears red, has blisters, and is very painful. How should this injurybe categorized?A.SuperficialB.Partial-thickness superficialC.Partial-thickness deepD.Full thicknessANS:BThe characteristics of the wound meet the criteria for a superficial partial-thickness injury (color that is pink or red; blisters; pain present and high).DIF:Cognitive Level: Application or higherTOP:Nursing Process Step: AssessmentMSC:Client Needs Category: Safe, Effective Care Environment/PhysiologicalIntegrity; 3.The burned client newly arrived from an accident scene is prescribed toreceive 4 mg of morphine sulfate by IV push. What is the most important reason toadminister the opioid analgesic to this client by the intravenous route?A.The medication will be effective more quickly than if given intramuscularly.B.It is less likely to interfere with the client’s breathing and oxygenation.C.The danger of an overdose during fluid remobilization is reduced.D.The client delayed gastric emptying.ANS:CAlthough providing some pain relief has a high priority, and giving the drug bythe IV route instead of IM, SC, or orally does increase the rate of effect, themost important reason is to prevent an overdose from accumulation of drug in theinterstitial space during the fluid shift of the emergent phase. When edema ispresent, cumulative doses are rapidly absorbed when the fluid shift is resolving.This delayed absorption can result in lethal blood levels of analgesics.