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HESI RN Case Study Burns

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HESI RN Case Study Burns - What is the initial step in managing a thermal burn injury? ️️ Stop the burning process by removing the source of heat and cooling the area with tepid water. - Why is it important to assess burn patients for associated trauma? ️️ Burn injuries may occur ...

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  • November 21, 2024
  • 7
  • 2024/2025
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HESI RN Case Study Burns

- What is the initial step in managing a thermal burn injury?

✔️✔️ Stop the burning process by removing the source of heat and cooling the area with tepid water.



- Why is it important to assess burn patients for associated trauma?

✔️✔️ Burn injuries may occur alongside fractures or internal injuries, especially in accidents like
explosions.



- How does a burn injury affect the cardiovascular system?

✔️✔️ It causes increased capillary permeability, leading to fluid shifts and hypovolemia.



- What is the purpose of administering pain medication before dressing changes in burn patients?

✔️✔️ To minimize the severe pain associated with wound care procedures.



- Why is it critical to assess mental status in burn patients?

✔️✔️ Changes in mental status can indicate hypoxia, carbon monoxide poisoning, or shock.



- What does a pale, cool, and mottled extremity in a burn patient indicate?

✔️✔️ Compromised circulation, possibly due to compartment syndrome or vascular damage.



- How does inhalation injury differ from external burns?

✔️✔️ It primarily affects the respiratory tract and may not be visible externally.



- Why is fluid overload a potential risk in burn resuscitation?

✔️✔️ Excessive fluid administration can lead to pulmonary edema and cardiac stress.



- How do partial-thickness burns typically heal?

, ✔️✔️ Through re-epithelialization from the wound edges and remaining dermal structures.



- What are the signs of wound infection in a burn patient?

✔️✔️ Increased redness, swelling, purulent drainage, fever, and foul odor.



- Why is it important to elevate burned extremities?

✔️✔️ To reduce swelling and improve venous return.



- What is the primary concern in electrical burns involving the heart?

✔️✔️ Cardiac arrhythmias, such as ventricular fibrillation.



- How does the risk of dehydration increase in burn patients?

✔️✔️ They lose fluids rapidly through damaged skin and increased evaporation.



- Why are potassium levels monitored closely during burn recovery?

✔️✔️ Hypokalemia may occur as fluid resuscitation progresses and potassium shifts back into cells.



- How do circumferential burns of the abdomen impact organ function?

✔️✔️ They can restrict expansion, impairing breathing and reducing blood flow to internal organs.



- Why is psychological care vital for burn survivors?

✔️✔️ Burns often lead to emotional trauma, including anxiety, depression, and body image concerns.



- What role does physical activity play in preventing complications in burn patients?

✔️✔️ It helps prevent muscle wasting, joint contractures, and deconditioning.



- How is compartment syndrome in burn injuries confirmed?

✔️✔️ By measuring compartment pressures with a manometer.

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