Burn Management and Treatment

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Questions and Answers

What is the most appropriate initial step in managing a minor burn?

  • Cooling the burn under running water for 10-20 minutes (correct)
  • Covering the burn with a thick layer of butter or ointment
  • Applying ice directly to the burn
  • Wrapping the burn tightly with a sterile bandage

In a first-degree burn, which layer of the skin is primarily affected?

  • Subcutaneous tissue
  • Dermis
  • Muscle layer
  • Epidermis (correct)

Which of the following is the most common cause of burns in children?

  • Scald burns from hot liquids (correct)
  • Radiation burns from prolonged sun exposure
  • Electrical burns from playing with outlets
  • Chemical burns from household cleaners

What bacterium is the most frequent causative agent in cases of cellulitis?

<p>Escherichia coli (C)</p> Signup and view all the answers

Reduced blood flow to which area is the primary cause of Curling's ulcer?

<p>Gastric mucosa (C)</p> Signup and view all the answers

Which strategy is MOST effective in preventing burn injuries?

<p>Being aware of potential hazards like hot surfaces and chemicals, and taking precautions to avoid contact. (D)</p> Signup and view all the answers

Which type of burn is characterized by damage involving the epidermis and part of the dermis, presenting with blisters and intense pain?

<p>Second-degree burn (D)</p> Signup and view all the answers

What is a Curling's ulcer?

<p>A stress ulcer that develops as a complication of severe burns (C)</p> Signup and view all the answers

What is the priority nursing intervention for a burn patient exhibiting signs of respiratory distress?

<p>Maintain airway patency (B)</p> Signup and view all the answers

Which of the following accurately represents the Parkland formula used for fluid resuscitation in burn patients?

<p>$4 \text{ mL} \times \text{kg} \times %\text{TBSA}$ (C)</p> Signup and view all the answers

Which level of HbA1c is considered within the target range for effective diabetes management?

<p>Below 6.5% (D)</p> Signup and view all the answers

What is the most reliable and early indicator of wound infection in a burn patient?

<p>Increased pain, redness, and swelling (A)</p> Signup and view all the answers

Which of the following is the primary causative factor in acne vulgaris?

<p>Bacterial infection (C)</p> Signup and view all the answers

A patient presents with honey-colored crusted lesions on their face. Which bacterial skin infection is most likely the cause?

<p>Impetigo (D)</p> Signup and view all the answers

Which of the following viruses is the primary cause of cold sores (herpes labialis)?

<p>Herpes simplex virus type 1 (HSV-1) (C)</p> Signup and view all the answers

Flashcards

Treating minor burns

Cool the burn under running water for 10-20 minutes.

First-degree burn

The epidermis or outermost layer is affected.

Common burns in children

Scald burns from hot liquids.

Cellulitis cause

Staphylococcus aureus is the most common bacterial cause.

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Curling's ulcer cause

Reduced blood flow to the gastric mucosa.

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Preventing burns

Be aware of hazards like hot surfaces and chemicals; take precautions.

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Second-degree burn

Involves damage to epidermis and part of dermis, with blisters and intense pain.

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Curling's ulcer

A stress ulcer that develops as a complication of severe burns.

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Burn patient distress

Maintain airway patency.

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Parkland formula

4 mL/kg/%TBSA

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HbA1c normal range

Below 6.5%

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Wound infection sign

Increased pain, redness, and swelling.

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Acne cause

Bacterial infection.

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Burn with blisters

Second-degree burn

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Cold sores cause

Herpes simplex virus type 1 (HSV-1)

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Study Notes

  • The first step in treating a minor burn is to cool the burn under running water for 10-20 minutes.
  • A first-degree burn affects the epidermis layer of the skin.
  • Scald burns from hot liquids are a common cause of burns in children.
  • Staphylococcus aureus is the most common bacterial cause of cellulitis.
  • Reduced blood flow to the gastric mucosa is the primary cause of Curling's ulcer.
  • The most effective way to prevent burns is to be aware of potential hazards and take precautions to avoid contact.
  • A second-degree burn involves damage to the epidermis and part of the dermis, with blisters and intense pain.
  • Curling's ulcer is a stress ulcer that develops as a complication of severe burns.
  • The primary nursing intervention for a burn patient with respiratory distress is to maintain airway patency.
  • The Parkland formula for fluid resuscitation in burn patients is 4 mL/kg/%TBSA.
  • The normal range for HbA1c in diabetes management is below 6.5%.
  • Increased pain, redness, and swelling is the most reliable sign of a wound infection in a burn patient.
  • Bacterial infection is the primary cause of acne vulgaris.
  • A second-degree burn affects the epidermis and part of the dermis, causing redness and blisters.
  • Impetigo is a bacterial skin infection characterized by honey-colored crusts.
  • Herpes simplex virus type 1 (HSV-1) causes cold sores.
  • Tinea capitis is a fungal infection affecting the scalp.
  • Streptococcus and Staphylococcus bacteria are the most common cause of cellulitis.
  • A characteristic feature of psoriasis is thick, scaly, silvery plaques.
  • Maintaining fluid balance and preventing infection is the most appropriate nursing intervention for a patient with severe burns.
  • Impetigo is a common bacterial skin infection characterized by honey-colored crusts.
  • Streptococcus pyogenes is the primary causative organism of cellulitis.
  • Honey-colored crusts are NOT a symptom of erysipelas, raised, red, and tender skin lesions, fever and chills, and well-defined borders are.
  • Oral antibiotics such as penicillin are the first-line treatment for uncomplicated cellulitis.
  • Folliculitis is a bacterial skin infection commonly associated with hot tubs and swimming pools.
  • Using the Rule of Nines, burns on the entire anterior chest and abdomen affect 18% of the body.
  • Using the Rule of Nines, burns on the entire right arm and the left leg affect 27% of the total body surface area (TBSA).
  • One mL/kg/%TBSA is NOT included in the Parkland formula for fluid resuscitation in burn patients.
  • A 70 kg patient with 30% TBSA burns requires 8400 mL of fluid in the first 8 hours using the Parkland formula.
  • Partial-thickness (second-degree) burns are characterized by blisters, pain, and erythema.
  • All intervention types are considered appropriate for a patient with cellulitis including raising the affected limb, applying cold compresses, and encouraging immobilization.
  • Monitoring for signs of infection is the most important nursing consideration when caring for a patient with full-thickness burns.
  • Respiratory distress is a sign of fat embolism syndrome in a patient with a long bone fracture.

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