Electrical Burns of the Mouth in Children

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What is the immediate treatment recommended for a child who sustains electrical burns of the mouth?

Unplug electric cord and control bleeding (correct)

Apply ice to the site

Wait for the bleeding to stop on its own

Administer oral pain medication

Why is it important to admit a child who has sustained electrical burns of the mouth to the hospital for at least 24 hours?

To allow time for wound healing

To prevent airway obstruction due to edema in the mouth (correct)

To provide them with additional electric shock therapy

To monitor for signs of dehydration

What potential problem may arise if a child sustains electrical burns of the mouth and experiences blackening of the mouth tissues?

Increased appetite

Enhanced taste perception

Local tissue necrosis (correct)

Improved oral hygiene

Which nursing diagnosis is most appropriate for a child with electrical burns of the mouth experiencing significant pain?

Pain r/t trauma to body cells Signup and view all the answers

What is the desired outcome related to fluid volume that should be monitored in a child with electrical burns of the mouth?

Hourly urine output > 1 mL/kg/hr Signup and view all the answers

What are some signs of respiratory distress that should be observed/monitored?

Wheezes and stridor Signup and view all the answers

What is the specific gravity range that is considered acceptable in the given scenario?

1.020 – 1.040 Signup and view all the answers

Which solutions are used in the first 24 hours to promote diuresis in burn patients?

Crystalloid solutions (NSS, LRS) Signup and view all the answers

Which of the following electrolyte imbalances is not mentioned as a risk factor in the text?

Hypercalcemia Signup and view all the answers

What is an important part of meticulous wound care for burn patients?

Regularly changing dressings and keeping wounds clean Signup and view all the answers

What is the purpose of an escharotomy as mentioned in the text?

Relieving pressure under eschar Signup and view all the answers

In the Parkland/Baxter Formula for fluid replacement in burns, what does the 50% represent?

Fluids to be given in the first 8 hours post-burn Signup and view all the answers

Why might pulses be difficult to palpate after an escharotomy?

Fluid accumulation under eschar Signup and view all the answers

What is one of the ways to prevent hypostatic pneumonia in burn patients?

Checking neck and chest for eschars Signup and view all the answers

What is a major concern mentioned in the text regarding nutrition management for burn injuries?

Breakdown of proteins needed for burn healing Signup and view all the answers

Why is it important to estimate accurately the percentage of body surface burned in burn patients?

To assess fluid and electrolyte balance requirements Signup and view all the answers

How does the reduced ability to phagocytize bacteria after a burn injury contribute to patient risk?

Higher susceptibility to infections Signup and view all the answers

How can a nurse identify wound infection in a child under isolation?

Redness at the wound site Signup and view all the answers

What psychological support might a child require during isolation?

Providing comfort through pleasurable touch Signup and view all the answers

How can a nurse differentiate between wound pain and fear in an isolated child?

By assessing verbal and non-verbal cues Signup and view all the answers

What is a key strategy to alleviate pain in children under isolation?

Providing comfort measures Signup and view all the answers

How can a nurse help improve the appetite of a child under isolation?

Providing a diet high in protein, calcium, vitamins, and minerals Signup and view all the answers

What is the purpose of homografting (allografting) in therapy for burns?

To provide a protective covering for the area Signup and view all the answers

What distinguishes autografting from homografting in the context of burns therapy?

Autografts are taken from the unburned portion of the child's body while homografts are from other sources. Signup and view all the answers

Why is cultured epithelium significant in burns therapy?

It can be grown into coherent sheets for autografts Signup and view all the answers

What is the main reason for preparing a child for intubation during hospitalization for burns?

To ensure a patent airway in case of laryngeal edema Signup and view all the answers

Why is it essential to humidify the air when intubating a child with burns?

To maintain respiratory function Signup and view all the answers

What is the purpose of placing homografts (allografts) on cleaned burn sites?

To supply protective covering for the area Signup and view all the answers