MDC4 Exam Comprehensive
Questions (Frequently Tested) and
Complete Solutions Graded A+
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Superficial first-degree burns - Answer: Above basal layer of epidermis,
mild to severe erythema is noted,Injured epidermis peels away; reveals
new epidermis heals within 3-6 days without interventions
,Superficial second-degree burns (superficial partial-thickness) - Answer:
Into upper layer of dermis, Moist, Red, Blanching, Blistering,Re-
epithelialization from skin adnexa About 2 wk healing time
Deep second-degree burns (deep partial-thickness) - Answer: Deeper
into dermis,Less moist,Less blanching,Less painful,Scar deposition,
contraction, limited re-epithelialization; may need grafting. 2-6wk
healing time
Full thickness burn (third degree) - Answer: Entire thickness of skin
destroyed, into fat. Any color (black, red, yellow, brown, white)
Dry. Contraction and scar deposition; requires grafting
Forth degree burn - Answer: Damage extends into muscle, tendon,
bone, Need specialized care; grafting does not work
Burn patient care - Answer: oxygen therapy
daily weights
Monitor Labs-Na, K
Teach about immunosupression and interventions to prevent infection
Nutrition-5000 calories per day
, Physical therapy to prevent contracture
Compression dressings only when grafts are healed, Medications for
pain
Parkland formula - Answer: 4ml/BSA%/ kg of body weight, first half
within the first 8 hours, 2nd half over the next 16 hours.
total body surface area (TBSA) - Answer: The amount of body surface
affected and the depth of injury caused by a burn.
A burn patient refuses physical therapy due to the pain it causes, what
should the nurse do? - Answer: Encourage physical therapy with
exercise that is not as painful.
Acknowledge patient concerns, Provide pain relief
Types of shock - Answer: Hypovolemic, Cardiogenic, Obstructive, &
Distributive
Burn shock is caused by: - Answer: Massive fluid shifts of plasma,
electrolytes, and proteins into the burn wound causing the inability of
the circulatory system to meet the needs of cells, tissues, and vital
organs. Its a form of Hypovolemic Shock
Questions (Frequently Tested) and
Complete Solutions Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Contact Information
Email:
WhatsApp link: https://wa.me/254704846336
Fast Response | Confidential | Reliable Academic Support
Helping Students Achieve Academic Excellence
Superficial first-degree burns - Answer: Above basal layer of epidermis,
mild to severe erythema is noted,Injured epidermis peels away; reveals
new epidermis heals within 3-6 days without interventions
,Superficial second-degree burns (superficial partial-thickness) - Answer:
Into upper layer of dermis, Moist, Red, Blanching, Blistering,Re-
epithelialization from skin adnexa About 2 wk healing time
Deep second-degree burns (deep partial-thickness) - Answer: Deeper
into dermis,Less moist,Less blanching,Less painful,Scar deposition,
contraction, limited re-epithelialization; may need grafting. 2-6wk
healing time
Full thickness burn (third degree) - Answer: Entire thickness of skin
destroyed, into fat. Any color (black, red, yellow, brown, white)
Dry. Contraction and scar deposition; requires grafting
Forth degree burn - Answer: Damage extends into muscle, tendon,
bone, Need specialized care; grafting does not work
Burn patient care - Answer: oxygen therapy
daily weights
Monitor Labs-Na, K
Teach about immunosupression and interventions to prevent infection
Nutrition-5000 calories per day
, Physical therapy to prevent contracture
Compression dressings only when grafts are healed, Medications for
pain
Parkland formula - Answer: 4ml/BSA%/ kg of body weight, first half
within the first 8 hours, 2nd half over the next 16 hours.
total body surface area (TBSA) - Answer: The amount of body surface
affected and the depth of injury caused by a burn.
A burn patient refuses physical therapy due to the pain it causes, what
should the nurse do? - Answer: Encourage physical therapy with
exercise that is not as painful.
Acknowledge patient concerns, Provide pain relief
Types of shock - Answer: Hypovolemic, Cardiogenic, Obstructive, &
Distributive
Burn shock is caused by: - Answer: Massive fluid shifts of plasma,
electrolytes, and proteins into the burn wound causing the inability of
the circulatory system to meet the needs of cells, tissues, and vital
organs. Its a form of Hypovolemic Shock
