HESI Case Study: Burns Rated A+ - Why are burns classified by depth?
️️ To determine the severity of injury and appropriate treatment. - What distinguishes a superficial burn from deeper burns?
️️ A superficial burn involves only the epidermis, causing redness and pain without bli...
✔️✔️ To determine the severity of injury and appropriate treatment.
- What distinguishes a superficial burn from deeper burns?
✔️✔️ A superficial burn involves only the epidermis, causing redness and pain without blisters.
- Why are full-thickness burns painless at the injury site?
✔️✔️ The nerve endings are destroyed.
- How does the body respond systemically to a major burn injury?
✔️✔️ By initiating a hypermetabolic and inflammatory response.
- What is the significance of early wound coverage in burn management?
✔️✔️ It decreases fluid loss, reduces infection risk, and promotes healing.
- Why are electrical burns often associated with internal injuries?
✔️✔️ The electrical current can cause deep muscle, nerve, and organ damage.
- What is the purpose of splinting in burn care?
✔️✔️ To maintain proper joint alignment and prevent contractures.
- Why is it important to assess the patient’s tetanus immunization status in burn injuries?
✔️✔️ Burn wounds are prone to tetanus infection.
- How does hypoproteinemia occur in burn patients?
,✔️✔️ Due to plasma protein loss from the damaged capillaries.
- Why might a burn patient experience hypovolemic shock within the first 24 hours?
✔️✔️ Fluid shifts from the intravascular space to the interstitial space.
- How are circumferential burns of the extremities treated to prevent vascular compromise?
✔️✔️ By performing an escharotomy to release pressure.
- What early signs indicate respiratory distress in a burn patient?
✔️✔️ Increased respiratory rate, use of accessory muscles, and decreased oxygen saturation.
- Why are burn patients at high risk for infection?
✔️✔️ Loss of the skin barrier allows microorganisms to invade.
- How can airway injury from smoke inhalation be initially detected?
✔️✔️ By the presence of soot around the mouth or nose and singed nasal hairs.
- Why is the initial 24-hour fluid requirement calculated using the patient’s weight and burn surface
area?
✔️✔️ To ensure adequate resuscitation without overloading or under-resuscitating.
- What is the role of hydrotherapy in burn wound management?
✔️✔️ To cleanse the wound, promote debridement, and reduce bacterial load.
- Why is daily weight monitoring crucial in burn patients?
✔️✔️ To assess fluid balance and nutritional status.
- What does a black, leathery appearance of a burn wound indicate?
, ✔️✔️ Full-thickness or third-degree burn with eschar formation.
- Why are hypermetabolic states common in burn patients?
✔️✔️ Burns increase energy expenditure to support healing and immune function.
- How can burn patients develop sepsis even with proper wound care?
✔️✔️ Systemic infections can occur due to immune system suppression and bacterial translocation.
- What role does physiotherapy play during the acute phase of burn recovery?
✔️✔️ To maintain circulation, prevent stiffness, and improve lung function through mobility exercises.
- Why are diuretics generally avoided in the acute management of burn shock?
✔️✔️ They can exacerbate hypovolemia and worsen kidney perfusion.
- How can circumferential neck burns compromise the airway?
✔️✔️ By causing tight eschar and swelling that restrict breathing.
- Why are serum electrolyte levels closely monitored in burn patients?
✔️✔️ To detect imbalances caused by fluid shifts and cellular injury.
- What is the primary function of skin grafting in deep burn injuries?
✔️✔️ To promote healing, cover large wounds, and reduce scarring.
- How does prolonged immobility affect burn patients?
✔️✔️ It increases the risk of pressure ulcers, joint contractures, and thromboembolism.
- Why is hand hygiene critical for healthcare providers caring for burn patients?
✔️✔️ To prevent cross-contamination and reduce infection risk.
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