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NRSG 357: Burns – Questions And Answers (Verified)
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NRSG 357: Burns – Questions And Answers (Verified)What is a burn? Right Ans - An injury to the tissues of the body caused by
heat, chemicals, electric current, or radiation.
What type of burns are there? Right Ans - -thermal
-chemical
-smoke and inhalation
-electrical
-cold thermal
What is thermal burn? Right Ans - -caused by a flame, flash, scaled or
contact with objects
-most common type of burn injury
What is a chemical burn? Right Ans - -result of contact with acids, alkalis,
and organic compounds
-Did the chemical also splash into the eyes?
What is a smoke and inhalation burn? Right Ans - -breathing in of hot air or
noxious chemicals damages the respiratory tract
-Assess they type of smoke and inhalation injury
-Airway compromise and pulmonary edema can develop over the first 12-48
hrs
What is an electrical burn? Right Ans - -result from intense heat generated
from an electric current
-Assess damage to nerves and vessels (most of the damage is below the skin)
-Assess other areas of potential damage (vertebrae- strong muscle
contractions)
What is a cold thermal? Right Ans - frostbite
What is the goal of classification of burns? Right Ans - -guides way the
burns will be treated;
-what happened, what might happen, how best can we avoid the possible
complications and allow them to heal best;
-where should pt be treated (will they need a transfer?)
, How is burn depth assessed? Right Ans - -degree system
-ABA recommended system
What is degrees system? Right Ans - *very simplistic, becoming less
common in medical chart
-consists of four levels
Describe the first level of the degree system Right Ans - -superficial
-erythema, blanching on pressure, pain and mild swelling, no vesicles or
blisters;
-epidermis;
-ex. Sun burn
Describe the second level of the degree system Right Ans - -deep
-fluid filled vesicles are red, shiny, wet. Severe pain caused by nerve injury,
mild to moderate edema;
-through epidermis, through dermis but haven't destroyed it yet;
-blisters occur instantly
Describe the third level of the degree system Right Ans - -dry, waxy white,
leathery, or hard skin;
-all skin elements and local nerve ending destroyed;
-through epidermis, dermis, at the fat
Describe the fourth level of the degree system Right Ans - -involvement of
muscles tendons, and bones;
-taken all layers of skin off
What does the ABA recommended system consist of? Right Ans - -partial
thickness
-full thickness
-superficial
Describe partial thickness burns Right Ans - -First- & second-degree burns;
-damage anywhere between epidermis to mid-dermis;
-will be able to heal on its own, has the re-genitive skin cells and can regrow
its own skin
Describe full thickness burns Right Ans - -third- & fourth-degree burns;
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