NBCOT – Burns Exam Study Guide with Complete Solutions

NBCOT – Burns Exam Study Guide with Complete Solutions Superficial (first degree) involves... - Answer️️ -the epidermis only. Signs of first degree burn are... - Answer️️ -minimal pain & edema; no blisters; healing time 3-7 days. Superficial partial thickness burn (second degree) involves... - Answer️️ -the epidermis & upper portion of the dermis (e.g. sunburn); red, blistering, & wet; painful, but no grafting necessary; healing time 7-21 days. Deep partial thickness burn (deep second degree burn) involves.... - Answer️️ -the epidermis & deep portion of dermis; hair follicles and sweat glands; red, white & elastic; sensation may be impaired; potential to convert to full thickness burn due to infection; healing time 21-35 days. Full thickness burn (third degree burn) involves... - Answer️️ -the epidermis & dermis; hair follicles, sweat glands, & nerve endings; white, waxy, leathery, & non-elastic; pain free, requires a skin graft; hypertrophic scar; healing time can take months. Fourth degree burn involves... - Answer️️ -fat, muscle & bone. ©SOPHIABENNET@2024/2025 Thursday, August 22, 2024 1:01 AM 2 Electrical burn involves... - Answer️️ -destruction of nerve along pathway. OT Evaluation - Answer️️ -1. Occupational hx & roles 2. ROM 72 hrs post op 3. Sensation when wounds are healed 4. Strength when wounds are healed 5. ADL & role activities ASAP Intervention (superficial partial thickness) - Answer️️ -1. Wound care & debridement, sterile whirlpool & dressing changes 2. Gentle AROM & PROM to tolerance 3. Edema control 4. Splinting if necessary 5. ADL & role activities Intervention (deep partial thickness) - Answer️️ -1. Wound care & debridement, sterile whirlpool & dressing changes 2. Gentle AROM & PROM to tolerance 3. Edema control 4. Splinting 5. Occupational role activities & ADL ©SOPHIABENNET@2024/2025 Thursday, August 22, 2024 1:01 AM 3 6. Strengthening when wounds are healed Intervention & Evaluation (full thickness burn) - Answer️️ -1. ROM (5-7 days post op) 2. Same as superficial & partial thickness) 1. 72 hours: dressing changes, splint at all times 2. 5-7 days: begin AROM, light ADL & meaningful activities, sterile whirlpool 3. 7+ days: PROM as tolerated, ADL & meaningful activitie