AHN 447 Final Exam Questions and Answers(A+ Solution guide) New Update

AHN 447 Final Exam Questions and Answers(A+ Solution guide) New Update Can the epidermis grow back? - Answers - Yes 5 things encompassed in the dermis - Answers - blood vessels, hair follicles, sweat, sebaceous, and lymph glands, What part of the skin is involved during a superficial thickness injury? - Answers - Epidermis 2 types of burns that can cause a superficial thickness burn - Answers - Sunburn and flash burn How quickly does a superficial thickness burn heal? - Answers - 3-6 days What is desquamation and with what thickness level burn does it occur? - Answers - Peeling and superficial thickness How soon after receiving a superficial thickness burn will a patient experience desquamation? - Answers - 2-3 days 3 indicators of a superficial partial thickness burn - Answers - Moist, blisters, and blanches 3 indicators of a deep partial thickness burn - Answers - Dry, blanches slowly or not at all, and edema Which type of partial thickness burn can progress to further injury? - Answers - Deep How long does it take a superficial partial thickness burn to heal? - Answers - 10-24 days How long does it take a deep partial thickness burn to heal? - Answers - 3-6 weeks Which type of partial thickness burn will scar? - Answers - Deep 2 types of wound closure for a full thickness burn - Answers - Contracture or grafting What are 2 common issues with full thickness burns? - Answers - Edema and blood supply How long will it take a full thickness burn to heal? - Answers - Weeks to months How deep does a deep full thickness burn go? - Answers - Underlying muscle or bone 2 treatments for deep full thickness burns - Answers - Grafting or amputation Do patient's with deep full thickness burns experience pain at the site usually? - Answers - No 3 main risk factors for mortality from a burn - Answers - TBSA 40%, inhalation injury, and age 60+ How much TBSA has to happen before there is a systemic fluid shift - Answers - 25% What will happen 48-72 hours after a burn to remobilize the fluid in the body if the kidneys are unaffected? - Answers - Diuresis What happens to the K+ levels and H&H during the initial fluid shift following a burn? - Answers - Hyperkalemia and high H&H What sort of electrolyte imbalance is a patient at risk for during the re-mobilization of fluid after a burn? - Answers - Hypokalemia 3 types of GI issues that result from a burn - Answers - Paralytic ileus, decreased GI motility, and Curling's ulcers What will a burn patient typically be put on for the first 48 hours to prevent stress ulcers? - Answers - NG tube to low wall suction 4 metabolic issues related to burns - Answers - Hypermetabolism, increased caloric needs, increased core body temp., and difficulty with enteral nutrition 4 compensatory responses to a burn - Answers - Increased RR, BG's, and thirst with decreased UOP 3 phases of burn care - Answers - Emergent, acute, and rehabilitative 3 essential assessment data points to cover in the emergent phase of burn care - Answers - Dry weight, height, and time of injury What is a common abnormal breath sound with burn victims? - Answers - Wheezing If a burn victim has a normal SpO2 does that mean they don't have carbon monoxide poisoning? If not, what sort of test is more definitive for carbon monoxide poisoning? - Answers - No, ABG's What CVP level do we want to see in burn patients? - Answers - 0-5 What will happen to the specific gravity of a burn patient's urine? - Answers - It will go up What is the assessment tool used in the acute phase of caring for a burn victim? - Answers - Lund/browder