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NU433: Integumentary Exam Questions and Answers 100% Solved | Rated A+ $12.49   Add to cart

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NU433: Integumentary Exam Questions and Answers 100% Solved | Rated A+

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NU433: Integumentary Exam Questions and Answers 100% Solved | Rated A+ RACE - race, alarm, contain, extinguish PASS - PASS: pull, aim, squeeze, sweep (on fire extinguisher) Health Promotion and fire & Burn prevention - - Flammable items out of reach of children o Bathtubs, candles, pans, grea...

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  • November 1, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NU 433
  • NU 433
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©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
NU433: Integumentary Exam Questions

and Answers 100% Solved | Rated A+


RACE - ✔✔race, alarm, contain, extinguish

PASS - ✔✔PASS: pull, aim, squeeze, sweep (on fire extinguisher)

Health Promotion and fire & Burn prevention - ✔✔- Flammable items out of

reach of children

o Bathtubs, candles, pans, grease

o Elderly: heating pad burns, neuropathy

- Lower hot water heater settings to 48.9 degrees C (120 F)

types of burns - ✔✔thermal

electrical

chemical

radiation

thermal burn: - ✔✔o Heat (such as stove or hot surface)

o Fire

Electrical Burn - ✔✔o Current from electric source

o Entrance and exit wound - damage is to internal organs

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
o Requires double the fluid resuscitation to flush the myoglobin out of the

kidneys

An Electrical burn does what to the muscles increasing______ - ✔✔o

Causes muscle to breakdown increasing myoglobin levels in urine

§ ASSESS kidneys!!!! Kidney failure

an electrical burn requires - ✔✔o Requires double the fluid resuscitation to

flush the myoglobin out of the kidneys

o Requires double the fluid resuscitation to flush the myoglobin out of the

kidneys

what is the priority nursing intervention for an electrical burn? - ✔✔o

Requires double the fluid resuscitation to flush the myoglobin out of the

kidneys

§ They need double the fluid resuscitation

§ Priority fluid replacement is Lactated Ringers-routinely used for 1st 24

hours.

chemical burn: - ✔✔o Exposure to agent such as those used for cleaning

§ Wear PPE, gloves when cleaning

what do you do FIRST when exposed to chemical burns? - ✔✔§ Wash off

chemical exposure FIRST!!!!!! TOP PRIORITY

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
radiation burn - ✔✔sunburn

o Treatment of cancer (very toxic to skin, can have blisters, burns: hard on

patient)

what is a priority when dealing with fires and burns? - ✔✔- Safe

environment is a priority! Move pt to safe area if needed!

Superficial thickness - ✔✔o Previously known as first degree - just top layer

Superficial partial thickness - ✔✔o Previously known as second degree -

into the dermis

o Blisters and some edema

Deep Partial Thickness - ✔✔o Previously known as second to third degree

- deep into dermis

o Edema and some eschar (lots of swelling, black tissue)

Full Thickness - ✔✔o Previously known as third degree - into the fatty

tissue

o Severe edema and hard eschar, no sensation (involves nerve damage)

Deep Full Thickness - ✔✔o Previously known as fourth degree - into

muscle and/or bone

o Black, no edema, inelastic eschar (completely black!!!, into the bone and

muscle)

, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
Seen in house fires, car accidents, explosions

Factors to Consider in determining burn depth: 5 - ✔✔- How the injury

occurred (determines tx)

- Causative agent (flame or scalding liquid)

- Temperature of agent

- Duration of contact with the agent

o Brief (move hand back), or long (trapped)

- Thickness of the skin at the injury

o Hands and feet might have thicker skin bc it is used more (more tough)

o Some areas are thin and not as tough

Priorities in Assessment of the Burn - ✔✔Location! Location! Location!



o A burn on the face, neck, can cause RESP DISTRESS- more dangerous

in a fire the 1st on the scene does what? - ✔✔- RACE, PASS, Call 911!

- CPR

- ABC's

Cool water vs. Ice - ✔✔- okay to wrap cool towels around extremity

intermittently

o Do NOT cool down skin super-fast (can cause shock!!!)

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