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Questions and Answers
A patient has burns covering the entire front of their right leg and the front of their trunk. Using the Rule of Nines, approximately what percentage of their Total Body Surface Area (TBSA) is burned?
A patient has burns covering the entire front of their right leg and the front of their trunk. Using the Rule of Nines, approximately what percentage of their Total Body Surface Area (TBSA) is burned?
- 9%
- 27% (correct)
- 36%
- 18%
Which of the following systemic effects is most likely to develop during the emergent phase of burn recovery due to increased capillary permeability?
Which of the following systemic effects is most likely to develop during the emergent phase of burn recovery due to increased capillary permeability?
- Metabolic Alkalosis
- Hypertension
- Increased Hemoglobin
- Hypovolemic shock (correct)
A patient with full-thickness burns over a large portion of their body is at a high risk for infection. What is the MAIN reason for this increased risk?
A patient with full-thickness burns over a large portion of their body is at a high risk for infection. What is the MAIN reason for this increased risk?
- Loss of the protective skin barrier (correct)
- Increased white blood cell count
- Elevated body temperature
- Compromised immune system
During the acute phase of burn recovery, which dietary intervention is MOST important to promote wound healing?
During the acute phase of burn recovery, which dietary intervention is MOST important to promote wound healing?
A patient who experienced a severe burn injury is exhibiting signs of anxiety and emotional distress. Which nursing intervention is MOST appropriate to address their psychological needs during the rehabilitation phase?
A patient who experienced a severe burn injury is exhibiting signs of anxiety and emotional distress. Which nursing intervention is MOST appropriate to address their psychological needs during the rehabilitation phase?
Which of the following is the MOST appropriate initial nursing intervention for a patient with a chemical burn?
Which of the following is the MOST appropriate initial nursing intervention for a patient with a chemical burn?
A patient with electrical burns is being admitted. What is the priority nursing assessment?
A patient with electrical burns is being admitted. What is the priority nursing assessment?
During the emergent phase of burn care, a patient's urine output is significantly less than the prescribed rate despite adequate fluid administration. Which of the following actions should the nurse take FIRST?
During the emergent phase of burn care, a patient's urine output is significantly less than the prescribed rate despite adequate fluid administration. Which of the following actions should the nurse take FIRST?
What type of burn involves the epidermis, dermis, and subcutaneous tissue?
What type of burn involves the epidermis, dermis, and subcutaneous tissue?
Which of the following is the primary goal of using pressure garments in burn scar management?
Which of the following is the primary goal of using pressure garments in burn scar management?
A child has burns on their entire back and the back of their right arm. Using the Lund-Browder chart, the estimated TBSA % burned would be:
A child has burns on their entire back and the back of their right arm. Using the Lund-Browder chart, the estimated TBSA % burned would be:
Why is it important to closely monitor electrolyte levels, particularly potassium, in burn patients during the emergent phase?
Why is it important to closely monitor electrolyte levels, particularly potassium, in burn patients during the emergent phase?
Which of these strategies is MOST effective in preventing scald burns in young children?
Which of these strategies is MOST effective in preventing scald burns in young children?
What is the PRIMARY purpose of debridement in burn wound care?
What is the PRIMARY purpose of debridement in burn wound care?
Which of the following accurately describes a partial-thickness (second-degree) burn?
Which of the following accurately describes a partial-thickness (second-degree) burn?
During the acute phase, what is the PRIMARY rationale for initiating physical and occupational therapy?
During the acute phase, what is the PRIMARY rationale for initiating physical and occupational therapy?
A patient who has suffered smoke inhalation is at risk for impaired gas exchange. What clinical manifestation would BEST indicate this complication?
A patient who has suffered smoke inhalation is at risk for impaired gas exchange. What clinical manifestation would BEST indicate this complication?
In burn care, what is the PRIMARY advantage of using an autograft versus an allograft or xenograft?
In burn care, what is the PRIMARY advantage of using an autograft versus an allograft or xenograft?
Which of the following interventions is MOST important for preventing hypothermia in a patient with extensive burns during the emergent phase?
Which of the following interventions is MOST important for preventing hypothermia in a patient with extensive burns during the emergent phase?
A patient with a circumferential burn on their arm is at risk for developing compartment syndrome. What assessment finding is MOST indicative of this complication?
A patient with a circumferential burn on their arm is at risk for developing compartment syndrome. What assessment finding is MOST indicative of this complication?
What is the MOST important consideration when providing nutritional support to a burn patient during the acute phase?
What is the MOST important consideration when providing nutritional support to a burn patient during the acute phase?
Which of the following burn types requires immediate and copious irrigation with water as a primary intervention?
Which of the following burn types requires immediate and copious irrigation with water as a primary intervention?
Why are children at a higher risk for complications from burns compared to adults?
Why are children at a higher risk for complications from burns compared to adults?
During burn assessment, what is the purpose of using the palmar surface (patient's palm) to estimate the burn size?
During burn assessment, what is the purpose of using the palmar surface (patient's palm) to estimate the burn size?
Which of the following is a common electrolyte imbalance observed in burn patients during the emergent phase?
Which of the following is a common electrolyte imbalance observed in burn patients during the emergent phase?
A patient with a burn injury develops a raised and thickened scar that extends beyond the original wound boundaries. What type of scar is this?
A patient with a burn injury develops a raised and thickened scar that extends beyond the original wound boundaries. What type of scar is this?
In the rehabilitation phase, which intervention is MOST effective in preventing contractures?
In the rehabilitation phase, which intervention is MOST effective in preventing contractures?
Which of the following is the MOST important nursing intervention for a patient with smoke inhalation injury?
Which of the following is the MOST important nursing intervention for a patient with smoke inhalation injury?
What type of burn results from heat sources such as flames, scalds, or contact with hot objects?
What type of burn results from heat sources such as flames, scalds, or contact with hot objects?
Which of the following interventions is MOST appropriate for managing pain in a burn patient?
Which of the following interventions is MOST appropriate for managing pain in a burn patient?
What is a key element in educating the public on burn prevention strategies?
What is a key element in educating the public on burn prevention strategies?
In burn care, what is the purpose of using topical antimicrobial agents?
In burn care, what is the purpose of using topical antimicrobial agents?
What is the likely cause of hyperkalemia in the emergent phase of burn injury?
What is the likely cause of hyperkalemia in the emergent phase of burn injury?
A patient with extensive burns is at risk for developing Curling's ulcer. Which intervention is MOST important for preventing this complication?
A patient with extensive burns is at risk for developing Curling's ulcer. Which intervention is MOST important for preventing this complication?
Which of the following best describes the primary focus of the rehabilitation phase?
Which of the following best describes the primary focus of the rehabilitation phase?
What is the priority nursing intervention for a patient with a suspected inhalation injury?
What is the priority nursing intervention for a patient with a suspected inhalation injury?
Which of the following is the most accurate method for estimating the extent of burns, especially in children?
Which of the following is the most accurate method for estimating the extent of burns, especially in children?
What systemic effect is associated with hyperkalemia?
What systemic effect is associated with hyperkalemia?
Which nursing intervention is MOST important for preventing cross-contamination and infection in a burn unit?
Which nursing intervention is MOST important for preventing cross-contamination and infection in a burn unit?
Covering burns with a clean, dry dressing serves which purpose?
Covering burns with a clean, dry dressing serves which purpose?
In addition to infection, what major complication can result from smoke inhalation?
In addition to infection, what major complication can result from smoke inhalation?
Flashcards
What are burns?
What are burns?
Injuries to tissues caused by heat, electricity, radiation, or chemicals.
Thermal burns
Thermal burns
Result from heat sources like flames, scalds, and hot objects.
Chemical burns
Chemical burns
Caused by contact with acids, alkalis, or organic compounds.
Smoke inhalation injuries
Smoke inhalation injuries
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Electrical burns
Electrical burns
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Radiation burns
Radiation burns
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Superficial (first-degree) burns
Superficial (first-degree) burns
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Partial-thickness (second-degree) burns
Partial-thickness (second-degree) burns
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Full-thickness (third-degree) burns
Full-thickness (third-degree) burns
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Deep full-thickness (fourth-degree) burns
Deep full-thickness (fourth-degree) burns
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Rule of nines
Rule of nines
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Lund-Browder chart
Lund-Browder chart
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Palmar surface
Palmar surface
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Local effects of burns
Local effects of burns
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Systemic effects of burns
Systemic effects of burns
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Fluid shifts in burns
Fluid shifts in burns
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Electrolyte imbalances in burns
Electrolyte imbalances in burns
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Inflammatory response in burns
Inflammatory response in burns
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Emergent (resuscitative) phase
Emergent (resuscitative) phase
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Primary concerns during the emergent phase
Primary concerns during the emergent phase
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ABCs
ABCs
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Fluid resuscitation
Fluid resuscitation
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Urine output monitoring
Urine output monitoring
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Preventing infection
Preventing infection
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Acute (wound healing) phase
Acute (wound healing) phase
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Focus of acute phase
Focus of acute phase
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Signs of infection
Signs of infection
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Nutritional support for wound healing
Nutritional support for wound healing
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Debridement
Debridement
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Grafting
Grafting
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Autografts
Autografts
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Allografts
Allografts
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Xenografts
Xenografts
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Rehabilitation phase
Rehabilitation phase
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Scar management
Scar management
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Major complication
Major complication
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Hypertrophic scars
Hypertrophic scars
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Keloids
Keloids
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Emotional distress
Emotional distress
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Electrical burns
Electrical burns
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Study Notes
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