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NMNC 4510 Exam #2 2025/2026 Exam Questions and Verified Answers | Already Graded A+

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NMNC 4510 Exam #2 2025/2026 Exam Questions and Verified Answers | Already Graded A+ Thermal Burns: Cause? What are cold thermal injuries? -

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NMNC 4510 Exam #2 2025/2026 Exam
Questions and Verified Answers |
1
Already Graded A+




Thermal Burns:

Cause?


What are cold thermal injuries? - 🧠 ANSWER ✔✔- caused by: flame, flash, scald,

contact w/ hot objects

- cold thermal injuries = frostbite


What do we do for frostbite? (2) - 🧠 ANSWER ✔✔- don't want to cool it down,

want to gradually rewarm the pt

- will sometimes use heparin to try to break up microclots

Electrical burns? (5)


What can cause them? (3) - 🧠 ANSWER ✔✔- probably going to have more injury

to the body.

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,- nerves and blood vessels have least resistance to electricity and it's going to

follow that least path of resistance.
2
- can have a deeper burn because electricity damages muscles and tissues.

- trauma can co-occur.

- can affect the heart (EKG monitoring)




- causes: people that cook meth, kids chewing on electrical wires, chain of people.

Chemical burns? (2)

Nursing care? (3)


What can cause them? (2) - 🧠 ANSWER ✔✔- don't feel them right away but then

they deepen and progress.

- can continue for up to 72 hrs. after exposure to chemical, depending on chemical.




- risk for the nurse because chemical can easily get on us.

- dry chemical - brush it off and then copious amounts of irrigation (neutralize it w/

water, some react to water).

- call poison control center!
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,- causes: cement, car crash victim laying in gasoline.
3
Initial tx of burns? (4) - 🧠 ANSWER ✔✔- stop the burning!!


- tar: can cool surface but underneath the surface is still hot and burning (water will

not help) - mineral oil removes tar.

- can apply cool, clean, damp towel if <10% burn.

- clean, dry sheet then transport for larger burn.


#1 priority w/ burns? - 🧠 ANSWER ✔✔AIRWAY! AIRWAY! AIRWAY!


- burns swell even in person initially has an intact airway.


Signs of inhalation injury? (4) - 🧠 ANSWER ✔✔- wheezes and stridor: injuries to

bronchioles themselves, pt is having constriction, cannot fix this w/ epi because

vessels are damaged.

- drooling: pt cannot swallow, may lead to airway compromise.

- deep, sexy, hoarse voice: ask if this is baseline, high suspicion of injury and

airway compromise!

- no lung sounds = really bad sign - airway is closed!

Inhalation injuries:
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, How do we measure the amount of CO in the pts body?


Biggest risks for inhalation injuries? (2) - 🧠 ANSWER ✔✔- smoke inhalation often
4
kills before the initial burn: bronchioles are burned = no gas exchange!

- carboxy hemoglobin level: measures amount of CO in pts body.

- if pt has high CO, can be converted to cyanide - pt gets cyanide antidote.




- at risk for CO and cyanide poisoning!


Inhalation injuries: bronchoscopy? (4) - 🧠 ANSWER ✔✔- need to clear all the soot

out of their bronchioles.

- often get it w/in 6-12 hrs.

- usually done daily until we start to see improvement.

- high on level of interventions, but not before ABCs.

Burns:

Pediatric concerns? (2)


Elderly concerns? (4) - 🧠 ANSWER ✔✔- pediatric: a lot of the time, this is a sign

of abuse; smaller airways.


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