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NU 308 Diabetes & Burns Bushey Questions And Answers 2024/2025 Updates
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NU 308 Diabetes & Burns Bushey Questions And Answers 2024/2025 Updates Burns are in the top ___ leading causes of accidental death in children. ANS Top 5 *Slightly decreasing Who is at an increased risk for burns? ANS Preschool and school aged children Axp ___-___% of burns do occur in ...

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  • October 24, 2024
  • 40
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nu 308 diabetes
  • nu 308 diabetes burns bushey questions and answe
  • nu 308 diabetes burns bushey
  • burns are in the top leading causes of acciden

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NU 308 Diabetes & Burns Bushey Questions And
Answers 2024/2025 Updates
Burns are in the top ___ leading causes of accidental death in children. ANS Top 5


*Slightly decreasing



Who is at an increased risk for burns? ANS Preschool and school aged children



Axp ___-___% of burns do occur in the home (including from fires). ANS 65-75%


*check smoke detector batteries


And axp ~____% of burns are preventable. ANS 75%



What are some of the various types of burns? ANS -Thermal (Most Common)
-Chemical
-Exposure to cold
-Radiation
-Electricity



Some types of thermal burns include... ANS -Scalds (hot liquids)
-Flames (i.e. matches)


*scalds are the most common type of thermal burns



When it comes to chemical burns, it is important to remember to... ANS -Brush chemicals off
quickly
-Flush with water for *20 minutes*

,-Remove contacts immediately



What are various sources of radiation burns? ANS -Nuclear fallout
-Radiation treatments for CA



With electrical burns, these burns are unique in that they look like what? ANS Has an entrance
and exit wound and often very deep (commonly a 3rd degree burn and down to the muscle/bone) but
appears less severe from the surface
*-Iceberg Effect *


Electrical burns can be dangerous but the electricity from the burn often affects the what as well?
ANS The heart
-risk for total arrest or V-fib


*keep these pts on a cardiac monitor



Pts with electrical burns also will to be transferred with what? ANS A spinal board and C-Collar
d/t concern from fractures



Why do pt with electrical burns also have a risk for fractures? ANS -Because the electrical
current can cause severe tetanic contractions of the muscles that can actually break or dislocate bones
-Or because they may have been injured when they fell from the shock


Unfortunately, burns can be used as a form of abuse. What are the #2 most common types of
intentional burns? ANS 1. Immersion in hot water
2. Contact with hot objects (i.e. iron, cigarettes)


When treating children with burns it is important to monitor for signs of abusive burns. What are
some various signs that the burns are intentional? ANS -Symmetrical and Smooth burn edges (vs
ragged)
-Stocking Glove Appearance: even edges with a dipping-like appearance

,-No splash marks
-History does not match burn injury
-Deep imprints from object burns



What is the #1 sign a burn is a result of abuse? ANS The history of the burn does *not* match the
injury



When it comes to the skin, the skin is the _________ organ of the body. ANS Largest



What is the role of the skin? ANS 1. Protection
2. Temperature Control


Skin acts as protection for... ANS -Barrier against infection

-Prevents loss of fluids



The #1 cause of death from severe burns is.... ANS Infection


The skin also helps regulate temperature. Thus, burns patients are often (cold/hot) so their
environment needs to be (cooler/warmer). ANS Cold; warmer


When it comes to assessing the severity of burns union admissions, what are 3 major things you need
to do? ANS 1. Assess percentage of Body Surface Area Burned (BSAB)
2. Assess Depth of burns
3. Assess Location of burns


Assessing BSAB is the *most* importance assessment to do. This may also be referred to the
"________" of body area burned. ANS Extent



When it comes to adults/15 years or older, what is the tool used to assess the BSAB? ANS The
Rules of Nines

, What is the Rule of Nines for adults? ANS -Head and Neck: 9%
-Left arm: 9%
-Right arm: 9%
-Front of trunk: 18%
-Back of trunk: 18%
-Right Leg: 18%
-Left Leg: 18%
-Perineum: 1%


For children under 15, body proportions differ based on age. What specialized charts are used to help
determine BSAB in children? ANS Lund/Browder charts



Note that BSAB is typically only done for... ANS 2nd and 3rd degree burns
-not typically done for 1st degree burns because they don't often require as much special care



How do you calculate a child's BSAB using the Pediatrics Rule of Nines? ANS For each year a
child is over 1 year old:
-Subtract 1% from head
-Add 0.5% to each leg


*done each year until Adult percentages are reached (around age 9)


For children their palms are also specifically calculated in addition to their arms. How much BSA do
their palms account for? ANS 1% each



BSAB is also important for calculating/estimating what? ANS Adjusted Maintenance Fluid
Needs

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