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NUR 436 Final Exam Study Guide Questions and Answers
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NUR 436 Final Exam Study Guide Questions and Answers
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NUR 436 Final Exam Study GuideQuestions and Answers
how long should you cool burns for? - Answer-no more than 10 minutes
immerse thermal burns in cool water or pack with ice T or F? - Answer-false
this can cause hypothermia and vasoconstriction of blood vessels which REDUCES
blood flow to injury
what do you do with clothing of patient with thermal burn - Answer-remove burned
clothing to prevent further tissue damage BUT
adherent clothing leave in place until pt transferred to hospital
wrap pt in dry clean sheet or blanket to prevent further contamination of wound and
provide warmth T or F? - Answer-true
what phase involves time required to resolve immediate problems from injury that lasts
up to 72 hours? - Answer-emergent phase
what are primary concerns of emergent phase? - Answer-hypovolemic shock and
edema
when does emergent phase end? - Answer-when fluid mobilization and diuresis begins
first way leading to burn shock - Answer-burn causes vascular permeability causing
edema causing decreased blood volume causing increase peripheral resistance
causing shock
second way leading to burn shock - Answer-burn causes increase vascular permeability
causing decreased intravascular volume causing increased hematocrit causing
increased viscosity causing increased peripheral resistance causing shock
what is fluid moving to areas where there is minimal to no fluid - Answer-third spacing
ex: exudate, blister formaation, edema
what is normal insensible loss of fluid - Answer-30-50 mL/hr
what is severely burned patient f&e shift - Answer-200-400 mL/hr
(intravascular volume depletion)
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