Exam (elaborations)
NUR 275 BURNS EXAM QUESTIONS AND ANSWERS
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NUR 275 BURNS EXAM QUESTIONS AND ANSWERS...
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NUR 275 BURNS EXAM QUESTIONS ANDANSWERS
what pts are mostly affected by burns - ANSWER -white males
-young children; elderly
-ages 20-30
-home flames and scolds
what is the RN's goal in burn prevention for patients - ANSWER -education and
teaching
-safety
-edu on alcohol consumption and burns
-home fire drills
-no cords under rugs
-hot surfaces (radiator cap, water heater, car engine, curling irons) etc
what are the 3 factors that determine the severity of burns - ANSWER 1. age
(young/ old)
2. burn depth (1st, 2nd, 3rd, 4th degree burn)
3. extent of body surface area injured
what is a first-degree burn - ANSWER -Superficial burn involving the epidermis
-Caused by sunburn and minor flash injuries -No edema, no blisters
what is a second-degree burn - ANSWER partial thickness epidermal and upper
dermal damage; blisters appear
what is a third-degree burn - ANSWER epidermis
full thickness of the dermis, and potentially deeper tissues are involved (SQ, Fat)
, area is painless, white, and charred
what is a fourth-degree burn - ANSWER full thickness injury to the muscles,
ligaments, tendons, nerves, blood vessels, and bones including fat, fascia, and
ms/bone
first degree burn
-what layers of the skin
-clinical manifestation
-how to tx
-what not to use - ANSWER -superficial layer, skin will be intact,
-tingling, hypersensitivity, red skin that blanches under pressure, pa relieve by
cooling/peeling/itching, minimal to no edema and blisters
-oral pa reliever (Tylenol), skin lubricant, cool compress
-do not submerg in ice or use antimicrobial ointment
second degree burn
-layers of skin
-manifestation
-cause
-tx
-what not to do - ANSWER -epi, and portion of the dermis (hair follicles and skin
appendages remain intake) (particle thickness)
-pa, hyperesthesia (sensitive to air current)
-flash flames, scolding
-recovery 2-3 wks, may require skin grafting, change dressing QD, keep extremity
elevated to reduce edema and encourage venous return
-encourage pt not to open/pop the blister; if they do wash it with soap and water to
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