Adult health: Burns

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What type of symptoms may occur in the neurologic system during the acute phase?

Disorientation, combative, and hallucinations

What is a typical symptom of the musculoskeletal system during the acute phase?

Limited range of motion (ROM)

Which system is likely to experience disorientation and hallucinations during the acute phase?

Neurologic system

What is a potential complication that can last for years in older adults during the acute phase?

<p>Delirium</p> Signup and view all the answers

Which condition might lead to skin and joint contractures in the musculoskeletal system during the acute phase?

<p>Limited ROM</p> Signup and view all the answers

What size IV lines are recommended for burns greater than 15% TBSA during the emergent phase?

<p>Large-bore IV lines</p> Signup and view all the answers

When should a central line be considered for burns treatment?

<p>For burns greater than 20% TBSA</p> Signup and view all the answers

In which situation would an arterial line be placed during burns treatment?

<p>If frequent ABGs are needed</p> Signup and view all the answers

Which formula is used for fluid replacement during the emergent phase of burns?

<p>Parkland (Baxter) formula</p> Signup and view all the answers

Where can wound care like cleansing and gentle debridement be performed during the emergent phase of burns management?

<p>On a shower cart, in a shower, or on a bed/stretcher</p> Signup and view all the answers

What is typically done in necrotic skin removal during surgical debridement of burns?

<p>Releasing escharotomies and fasciotomies</p> Signup and view all the answers

How often is dressing change recommended during wound care in the emergent phase?

<p>Once-daily shower with dressing change in morning only</p> Signup and view all the answers

For how long can newer antimicrobial dressings typically be left in place during wound care?

<p>From 3 to 14 days</p> Signup and view all the answers

What is a potential consequence of edema from facial and neck burns?

<p>All of the above</p> Signup and view all the answers

Which type of injury may not manifest until 12 to 48 hours after a burn?

<p>Lower airway injury</p> Signup and view all the answers

What is a potential sign of lower airway injury that should be assessed for?

<p>All of the above</p> Signup and view all the answers

What is the relationship between tissue damage in lower airway injury and exposure to toxic fumes or smoke?

<p>Tissue damage increases with longer exposure</p> Signup and view all the answers

Which type of injury may result in direct damage to nerves and vessels?

<p>Electrical burn injury</p> Signup and view all the answers

What may be a consequence of eschar and edema in upper airway injuries?

<p>Compromised breathing due to compromised airway</p> Signup and view all the answers

Which symptom may manifest as acute respiratory distress syndrome (ARDS) in lower airway injury?

<p>Carbonaceous sputum</p> Signup and view all the answers

What is the most appropriate drug therapy for a burn patient with suspected sepsis?

<p>Systemic broad-spectrum antibiotics</p> Signup and view all the answers

Which of the following statements about tetanus immunization in burn patients is correct?

<p>It is given routinely to all burn patients</p> Signup and view all the answers

What is the primary purpose of using topical antimicrobial agents like silver sulfadiazine or mafenide acetate in burn patients?

<p>To control the burn wound flora</p> Signup and view all the answers

Which of the following statements about venous thromboembolism (VTE) prophylaxis in burn patients is correct?

<p>Intermittent pneumatic compression devices or graduated compression stockings are recommended for patients with a high bleeding risk</p> Signup and view all the answers

What is the most appropriate initial approach for managing burn wound flora?

<p>Topical antimicrobial agents</p> Signup and view all the answers

Which of the following statements about the use of systemic antibiotics in burn patients is correct?

<p>They are not usually used for controlling burn wound flora</p> Signup and view all the answers

What is the primary concern for the burn patient described as reporting severe pain and expressing fear regarding healing and future?

<p>Psychological distress and anxiety</p> Signup and view all the answers

Which of the following statements about the use of low-molecular-weight heparin or low-dose unfractionated heparin in burn patients is correct?

<p>It is used as a prophylactic measure against venous thromboembolism (VTE)</p> Signup and view all the answers

What is the primary reason for providing early and aggressive nutritional support within hours of a burn injury?

<p>To optimize burn wound healing and minimize hypermetabolism</p> Signup and view all the answers

Which statement best describes the hypermetabolic state associated with burn injuries?

<p>Resting metabolic expenditure is increased by 50% to 100% above normal, and core temperature is increased.</p> Signup and view all the answers

Which nutritional intervention is recommended for promoting optimal conditions for wound healing in burn patients?

<p>Early, continuous enteral feeding with adequate calories and protein</p> Signup and view all the answers

Which finding in M.K., a burn patient, is of most concern to the nurse when monitoring initial fluid replacement?

<p>Tachycardia and hypotension despite fluid resuscitation</p> Signup and view all the answers

What is the primary mechanism by which catecholamines contribute to the hypermetabolic state in burn patients?

<p>Stimulating catabolism and breakdown of lean body mass</p> Signup and view all the answers

Which statement best describes the importance of early and aggressive nutritional support in burn patients?

<p>It promotes wound healing and minimizes the negative effects of hypermetabolism.</p> Signup and view all the answers

Which additional nutritional supplementation may be required for burn patients?

<p>Supplemental vitamins and iron</p> Signup and view all the answers

What is the primary reason for the increased core temperature observed in the hypermetabolic state associated with burn injuries?

<p>Increased metabolic rate and energy expenditure</p> Signup and view all the answers

Which term best describes an injury to the skin or other organic tissue primarily caused by heat?

<p>Burns</p> Signup and view all the answers

What is the primary cause of thermal burns?

<p>Hot liquids (scalds)</p> Signup and view all the answers

What is the heart's inability to pump blood forward known as in cardiogenic shock?

<p>Systolic dysfunction</p> Signup and view all the answers

Which type of burn injury occurs due to exposure to chemicals?

<p>Chemical burns</p> Signup and view all the answers

What is the term for a condition resulting from exposure to toxic fumes or smoke during a burn?

<p>Lower airway injury</p> Signup and view all the answers

Which type of dysfunction characterizes cardiogenic shock?

<p>Systolic or diastolic dysfunction</p> Signup and view all the answers

In what situation might smoke inhalation injury occur?

<p>Exposure to toxic fumes or smoke</p> Signup and view all the answers

What type of burn injury results from being exposed to electrical current?

<p>(Electrical) Burns</p> Signup and view all the answers

'Chemical burns' are primarily caused by what substance?

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

'Cold thermal injury' can occur due to exposure to what?

<p>(Cold) Weather conditions</p> Signup and view all the answers

Which tool is considered more accurate for assessing the extent of burns?

<p>Lund-Browder chart</p> Signup and view all the answers

What is a potential complication that burns on the chest can pose?

<p>Respiratory obstruction</p> Signup and view all the answers

Which phase of burn management focuses on resolving immediate problems within the first 72 hours post-injury?

<p>Emergent phase</p> Signup and view all the answers

In burn patients, what might be a consequence of infection during the acute phase?

<p>Worsened cardiovascular complications</p> Signup and view all the answers

What type of risk factors are considered for burn patients in the prehospital phase?

<p>Patient-specific risk factors</p> Signup and view all the answers

Which system is vulnerable to complications like skin and joint contractures during the rehabilitation phase for burn patients?

<p>Musculoskeletal system</p> Signup and view all the answers

What is a significant emotional need post-burn injury that patients and caregivers may experience?

<p>Feelings of guilt</p> Signup and view all the answers

Which patient factor can impact the severity of burns?

<p>Age</p> Signup and view all the answers

What is a potential complication in burn patients during the emergent phase that affects multiple systems?

<p>Metabolic acidosis</p> Signup and view all the answers

What is commonly used in wound care to address full-thickness burns during the acute phase?

<p>Debridement and grafting</p> Signup and view all the answers

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