Davis Edge Medical-Surgical Nursing Burns (Latest UPDATES STUDY) Exam Reviews Questions and Verified Answers 100% Correct Grade ADavis Edge Medical-Surgical Nursing:
Burns
Answers: 1, 3, and 4 - The client has a possibility of developing compartment syndrome in the
first 48 hours post injury...
Davis Edge Medical-Surgical Nursing:
Burns
Answers: 1, 3, and 4 - The client has a possibility of developing compartment syndrome in the
first 48 hours post injury. Clinical manifestations of compartment syndrome include numbness in
the involved extremities. Diminished pulse is a manifestation of compartment syndrome. If the
client complains of pain with flexion or extension, it indicates compartment syndrome.
Rationales
Option 2: Red or tea colored urine indicates myoglobinuria which indicates muscle damage.
Option 5: A client with myoglobinuria should be closely monitored for urine output. If the urine
output decreases, then fluid resuscitation should be performed, but this condition does not
indicate compartment syndrome.
Page reference: 1107 - ✅✅-Which clinical manifestations present in a client most likely
indicates compartment syndrome? Select all that apply.
1. Numbness
2. Red-colored urine
3. Diminishing pulse
4. Complaints of pain with flexion
5. Urine output less than 1 mL/kg/hr
Answer: 2 - Allograft indicates a temporary coverage as it will eventually need to be replaced by
permanent grafting.
Rationales
Option 1: Autograft, indicating permanent coverage, is the ideal coverage for all burn clients.
Option 3: Integra is used as a permanent coverage as it may provide a functional dermis and
better chance of wound closure.
Option 4: Cultured epithelial autograft is used as a permanent coverage, and it is a good choice
for a client with severe burns.
Page reference: 1118 - ✅✅-Which type of skin graft may eventually require replacement by a
permanent grafting?
, 1. Autograft
2. Allograft
3. Integra
4. Cultured epithelial autograft
Test Taking Tip: This type of skin graft is used as a temporary coverage on the burns.
Answer: 2 - In deep partial-thickness burns, or second degree burns, the entire epidermis and
deeper layers of the dermis are damaged.
Rationales
Option 1: In superficial burns, minimal damage to the epidermis is observed.
Option 3: In superficial partial-thickness burns, damage to the entire epidermis and minimal
damage to the dermis is observed.
Option 4: In full-thickness, or third degree burns, the entire epidermis and dermis is destroyed
and it may also involve subcutaneous, fat, and bone injury.
Page reference: 1096, 1097 - ✅✅-Which condition of the client indicates deep
partial-thickness burns?
1. Minimal damage to the epidermis
2. Damage to the entire epidermis and deeper layers of the dermis
3. Damage to the entire epidermis and minimal damage to the dermis
4. The damage would also involve subcutaneous fat and muscle, along with dermis and
epidermis
Answer: 4 - Deep partial thickness (second degree) burns usually take 3 to 6 weeks to heal but
may leave some scarring.
Rationales
Option 1: Superficial (first degree) burns take 3 to 7 days to heal with no scarring.
Option 2: Superficial partial thickness (second degree) burns take 7 to 14 days to heal with no
scarring.
Option 3: Full thickness (third degree) burns cannot be healed without excision and grafting.
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