Burn Injury Medical Quiz

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What is a key element of constructing a meaningful stem in a question?

Presenting a definite problem (correct)

Using complex vocabulary

Stating the question negatively

Including irrelevant details for context

How should the options in a multiple-choice question be structured?

All options should be similar in length

Options must be mutually exclusive (correct)

Options should reflect a single idea

At least one option should be obviously correct

What is a common mistake when creating distractors for a question?

Using definitive terminology (correct)

Using plausible alternatives

Including incorrect but similar ideas

Making distractors homogeneous in content

When should a stem be negatively stated?

When significant learning outcomes necessitate it Signup and view all the answers

Which of the following guidelines should be followed regarding the correct answer?

The correct answer must be mentioned in prior content Signup and view all the answers

What percentage of burn injuries occurs in the home?

65% Signup and view all the answers

Which group represents the highest percentage of burn victims?

Men Signup and view all the answers

Which type of burn injury is considered most preventable in children under 5?

Scald injuries Signup and view all the answers

What is the mortality rate for elderly patients with burns greater than 40% TBSA?

90% Signup and view all the answers

What percentage of burn cases is represented by individuals over 60 years of age?

13% Signup and view all the answers

Which of the following factors increases the risk of burns in older adults?

Chronic illnesses Signup and view all the answers

How many people with burn injuries receive medical treatment each year?

500,000 Signup and view all the answers

Which burn injury is associated with the highest mortality rate?

Inhalation injuries Signup and view all the answers

What is the characteristic healing time for a superficial burn?

7 days Signup and view all the answers

Which type of burn destroys the entire dermis and may affect underlying muscle and bone?

Full-thickness burn Signup and view all the answers

What is a common characteristic of a superficial partial-thickness burn?

It has blisters with exposed red and moist dermis Signup and view all the answers

Which factor does NOT determine the depth of a burn?

Level of pain experienced Signup and view all the answers

What distinguishes a deep partial-thickness burn from other types?

It affects the reticular layer of the dermis and may result in permanent scarring. Signup and view all the answers

How does a full-thickness burn typically present in appearance?

Charred or leathery with color variation Signup and view all the answers

What does the term 'spontaneous healing' refer to in terms of burn management?

Healing that occurs only in superficial burns Signup and view all the answers

What crucial factor should nurses recognize about burn injuries?

Damage may still occur even after exposure to the burn source ends Signup and view all the answers

What defines a minor burn injury for adults?

Second-degree burn of less than 15% TBSA Signup and view all the answers

Which of the following constitutes a major burn injury?

All third-degree burns 10% TBSA or more Signup and view all the answers

In which zone of burn injury is tissue completely destroyed?

Zone of coagulation Signup and view all the answers

What percentage of TBSA defines a moderate, uncomplicated burn injury in adults?

15-25% Signup and view all the answers

Which of the following is NOT considered an at-risk patient for burn injuries?

Healthy adults Signup and view all the answers

What physiological response occurs when burns exceed 20% TBSA?

Decreased myocardial contractility Signup and view all the answers

What is a common systemic response associated with burn shock?

Loss of circulating plasma volume Signup and view all the answers

What is the primary systemic event in burn shock?

Hemodynamic instability Signup and view all the answers

What is the main characteristic of the zone of coagulation in a burn injury?

Area of cellular death Signup and view all the answers

Which of the following best describes the zone of stasis?

Compromised blood supply and injury Signup and view all the answers

What complication is associated with delayed fluid resuscitation in patients with large burn wounds?

Abdominal compartment syndrome Signup and view all the answers

What is the primary electrolyte solution used for fluid resuscitation in burn patients?

Lactated Ringer's solution Signup and view all the answers

In burn shock, what physiological change leads to circulatory collapse if inadequately treated?

Increased peripheral vascular resistance Signup and view all the answers

During the first 24-36 hours after a burn, what type of fluid shift primarily occurs?

Fluid loss from the intravascular compartment Signup and view all the answers

What is the recommended range for intra-abdominal pressure (IAP) in patients with burn injuries?

5-7 mm Hg Signup and view all the answers

What method is used to monitor intra-bladder pressure (IBP)?

Bladder catheter and saline instillation Signup and view all the answers

What is the primary purpose of using a Foley catheter in burn patients?

To drain urine from the bladder Signup and view all the answers

Which of the following conditions is associated with burn shock?

Hypovolemic and distributive shock Signup and view all the answers

Which instrument is used to convert a physical quantity into a usable signal in burn management?

Transducer Signup and view all the answers

What complication may arise from fluid resuscitation in burn patients?

Compartment syndrome Signup and view all the answers

Why is the measurement of fluid input and output critical in burn patients?

It ensures accurate fluid management Signup and view all the answers

What is a significant risk factor associated with severe lactic acidosis in burn patients?

Decreased pH levels Signup and view all the answers

Which solution is used to provide lactate that can be metabolized into bicarbonate in burn patients?

Ringer's lactate Signup and view all the answers

Which of the following describes a primary nursing alert when managing burn patients?

Ensure accurate I&O measurement Signup and view all the answers

What is the primary reason for monitoring carbon monoxide levels in patients with inhalation injuries?

It assesses the competition between carbon monoxide and oxygen for hemoglobin binding. Signup and view all the answers

Which of the following symptoms indicates a higher level of carboxyhemoglobin, specifically in the range of 20-40%?

Disorientation and visual impairment Signup and view all the answers

What is one limitation of pulse oximetry in carbon monoxide poisoning?

It cannot distinguish between oxygenated hemoglobin and carbon monoxide-poisoned hemoglobin. Signup and view all the answers

Which factor is NOT typically assessed when diagnosing inhalation injuries?

Urinary output volume Signup and view all the answers

Why is observation for at least 24 hours important in patients with suspected inhalation injuries?

To detect potential pulmonary complications. Signup and view all the answers

What clinical intervention is essential to facilitate the removal of carbon monoxide from the body?

Administration of 100% oxygen Signup and view all the answers

What symptom is associated with carboxyhemoglobin levels exceeding 60%?

Death Signup and view all the answers

Which statement regarding the treatment of carbon monoxide poisoning is FALSE?

Pulse oximetry is the definitive measure for assessing oxygen levels. Signup and view all the answers

What is the primary cause of acute tubular necrosis in burn patients?

Hemoglobin and myoglobin occlusion in renal tubules Signup and view all the answers

Which of the following is a sign of renal dysfunction in burn patients?

Pigmented urine Signup and view all the answers

What complication is associated with impaired thermoregulation in burn patients?

Low body temperature initially Signup and view all the answers

During which phase of burn care is prevention of infection a priority?

Acute/Intermediate phase Signup and view all the answers

A common gastrointestinal complication after a burn injury is:

Paralytic ileus Signup and view all the answers

What is the typical urine output goal during fluid resuscitation in burn patients?

2 mL/kg/hr Signup and view all the answers

What is a significant immunologic alteration after a burn injury?

Impaired granulocyte and macrophage production Signup and view all the answers

Which nutrient support is essential during the acute phase of burn management?

Protein Signup and view all the answers

Which phase of burn care focuses on psychosocial adjustment and vocational rehabilitation?

Rehabilitation phase Signup and view all the answers

Which factor can contribute to increased mortality in burn patients with severe injuries?

Combined inhalation injury with TBSA > 60% Signup and view all the answers

What is the preferred method to extinguish flames on clothing?

Drop to the ground and roll. Signup and view all the answers

Which of the following actions is NOT advised after extinguishing a burn?

Apply ice or cold compresses directly to the wound. Signup and view all the answers

What should you do with any jewelry on a burn victim?

Remove it immediately to prevent constriction. Signup and view all the answers

What is the initial step to take when caring for a chemical burn?

Irrigate the burn with cool, clean water. Signup and view all the answers

What is the primary reason for covering a burn wound quickly?

To minimize bacterial contamination and pain. Signup and view all the answers

Which symptom may indicate worsening conditions after a burn?

Reducing urine output. Signup and view all the answers

What immediate action should be taken in the case of high-voltage electrical injuries?

Immobilize the cervical spine. Signup and view all the answers

How should breathing be managed during initial burn care?

Administer 100% humidified oxygen. Signup and view all the answers

What is a common physiological response observed after a burn?

Tachycardia and slight hypotension. Signup and view all the answers

What should be done if a burn victim exhibits signs of cerebral hypoxia?

Assess their neurological status and monitor closely. Signup and view all the answers

What is the minimum urinary output goal for adult patients during fluid resuscitation after a burn injury?

0.5 to 1 mL/kg/hr Signup and view all the answers

Which method is used to determine the adequacy of fluid resuscitation in burn patients?

Assessing vital signs and urine output Signup and view all the answers

Which of the following assessments is crucial for a patient with burn injuries?

Determining the depth and extent of the burn Signup and view all the answers

What initial action should be taken once circulatory and respiratory functions are stable in a burn patient?

Gather comprehensive patient history Signup and view all the answers

In what situation should a nasogastric tube be inserted for a burn patient?

Patient is intubated or burn exceeds 20% TBSA Signup and view all the answers

What is the consequence of excessive fluid resuscitation in burn patients within the first 24 hours after injury?

Potentially deleterious effects Signup and view all the answers

Which of the following electrolytes is likely to show excess levels in patients with burn injuries?

Potassium (K+) Signup and view all the answers

What critical assessment must be included in the care of burn injuries regarding immunization?

Tetanus prophylaxis status Signup and view all the answers

What immediate priority should be addressed following respiratory difficulties in burn management?

Preventing irreversible shock Signup and view all the answers