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Exam (elaborations)

Ch 6. Inflammation and Healing Process in Burns Exam Questions and Answers

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A patient with a burn injury from hot grease is seen for care. The burned area is red, swollen, blistered, and extremely painful. Which type of burn is being described in this scenario? - Answer-Deep partial thickness This is a deep partial thickness burn, characterized by redness, swelling, blister formation, and severe pain. A 3-month-old infant is seen in the emergency room. The child's lower extremities are bright red with small blisters, and the infant is screaming. The mother states that the screaming began during the baby's bath. Which type of burn is being described in this scenario? - Answer-Deep thickness thermal This is a deep thickness thermal burn (redness, blister formation, pain) resulting from immersion in bath water that was too hot. Match the type of burn to its clinical presentation. - Answer-partial thickness, deep partial thickness, full thickness In an attempt to douse a grease fire, a patient arrives in the emergency department with a severe burn involving the entire right arm. Using the rule of nines, how much of the patient's body surface area (BSA) is affected? - Answer-9% Which statement is true about eschar? - Answer-Eschar is a dry, hard covering seen in full thickness burns., Eschar shrinks and increases pressure on the damaged tissue beneath. A patient presents in the emergency room with full thickness burns over 36% of the body. The patient reports a pain level of 4 (on a scale of 1-10), heart rate is 116 beats per minute, and blood pressure is 90/50. Which rationale best supports a secondary concern of hypovolemic shock in this patient? - Answer-The inflammatory process associated with full thickness burns leads to extreme fluid shifting resulting in hypovolemic shock. The fluid shift in burns results from the normal inflammatory process. Which statement explains the effects of fluid shifting in a burn victim? - Answer-This fluid shift leads to proteins leaking out of the capillaries and into the tissues, where an increase in osmotic pressure makes it difficult to maintain blood volume. Which statements describe the rationale for a patient's increased susceptibility to infection following a burn injury? - Answer-The first layer of defense, the skin barrier, is lost., The bone marrow is suppressed, resulting in a decrease in immunoglobulins circulating in the blood., White blood cells, which are formed in the bone marrow, are

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Ch 6. Inflammation and Healing Process
in Burns Exam Questions and Answers
A patient with a burn injury from hot grease is seen for care. The burned area is red,
swollen, blistered, and extremely painful. Which type of burn is being described in this
scenario? - Answer-Deep partial thickness

This is a deep partial thickness burn, characterized by redness, swelling, blister
formation, and severe pain.

A 3-month-old infant is seen in the emergency room. The child's lower extremities are
bright red with small blisters, and the infant is screaming. The mother states that the
screaming began during the baby's bath. Which type of burn is being described in this
scenario? - Answer-Deep thickness thermal
This is a deep thickness thermal burn (redness, blister formation, pain) resulting from
immersion in bath water that was too hot.

Match the type of burn to its clinical presentation. - Answer-partial thickness, deep
partial thickness, full thickness

In an attempt to douse a grease fire, a patient arrives in the emergency department with
a severe burn involving the entire right arm. Using the rule of nines, how much of the
patient's body surface area (BSA) is affected? - Answer-9%

Which statement is true about eschar? - Answer-Eschar is a dry, hard covering seen in
full thickness burns., Eschar shrinks and increases pressure on the damaged tissue
beneath.

A patient presents in the emergency room with full thickness burns over 36% of the
body. The patient reports a pain level of 4 (on a scale of 1-10), heart rate is 116 beats
per minute, and blood pressure is 90/50. Which rationale best supports a secondary
concern of hypovolemic shock in this patient? - Answer-The inflammatory process
associated with full thickness burns leads to extreme fluid shifting resulting in
hypovolemic shock.

The fluid shift in burns results from the normal inflammatory process. Which statement
explains the effects of fluid shifting in a burn victim? - Answer-This fluid shift leads to
proteins leaking out of the capillaries and into the tissues, where an increase in osmotic
pressure makes it difficult to maintain blood volume.

Which statements describe the rationale for a patient's increased susceptibility to
infection following a burn injury? - Answer-The first layer of defense, the skin barrier, is
lost., The bone marrow is suppressed, resulting in a decrease in immunoglobulins
circulating in the blood., White blood cells, which are formed in the bone marrow, are

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