NURS 4581 Exam 3: Complex Needs (Reid) –
Updated 2025 Practice Questions & Answers
Graded A+
What can minimized the depth of a burn?
cooling w/in 1 minute of burn (cool water, NOT ICE ∵ vasoconstriction)
Large burns should be cooled for how long?
What should be used?
no longer than 10 minutes or risk hypothermia
use water, never ice (will cause vasoconstriction and ↓circulation ∴ ↑ischemia)
What type of burn is not used in calculating total BSA?
superficial!
Define the following burn types;
superficial (3)
partial-thickness superficial (2)
,partial-thickness deep (4)
full-thickness (2)
s: pink, blanches w/ pressure, no blisters
pts: blisters, wet/shiny
ptd: may blister, white/red/pink, mottled, initially moist then dry
ft: leathery, needs skin graft
What severity burn is classified as mottled?
How would you expect the burn to progress?
partial-thickness: deep
initially moist then dry
Patient is experiencing a brief loss of consciousness followed by periods of
alertness. What type of hematoma do you suspect?
epidural: arterial blood, lemon shape, FAST
True or False: IV cannot be placed through burned skin
,False
True or False: BP cuff can be placed over burned skin
True
An increased capillary permeability after a burn is caused by __________.
Occurs how long after injury?
Lasts how long?
inflammatory response
occurs w/in 10min of injury
leakage continues for 24-36 hours
Fluid resuscitation is needed when?
>20% BSA
Burn severity is influenced by (3)
temp of burning agent
duration of contact
type of tissue injured
, Dr. Reid's meaning regarding calculating total BSA of burn;
face
head
arm
anterior arm
face: 4.5%
head: 9% (means front and back)
arm: 9% (means front and back)
anterior arm: 4.5%
Describe the stick man for calculating total BSA for burns
front:
face = 4.5
chest (top & bottom) = 18
legs (each) = 9
Updated 2025 Practice Questions & Answers
Graded A+
What can minimized the depth of a burn?
cooling w/in 1 minute of burn (cool water, NOT ICE ∵ vasoconstriction)
Large burns should be cooled for how long?
What should be used?
no longer than 10 minutes or risk hypothermia
use water, never ice (will cause vasoconstriction and ↓circulation ∴ ↑ischemia)
What type of burn is not used in calculating total BSA?
superficial!
Define the following burn types;
superficial (3)
partial-thickness superficial (2)
,partial-thickness deep (4)
full-thickness (2)
s: pink, blanches w/ pressure, no blisters
pts: blisters, wet/shiny
ptd: may blister, white/red/pink, mottled, initially moist then dry
ft: leathery, needs skin graft
What severity burn is classified as mottled?
How would you expect the burn to progress?
partial-thickness: deep
initially moist then dry
Patient is experiencing a brief loss of consciousness followed by periods of
alertness. What type of hematoma do you suspect?
epidural: arterial blood, lemon shape, FAST
True or False: IV cannot be placed through burned skin
,False
True or False: BP cuff can be placed over burned skin
True
An increased capillary permeability after a burn is caused by __________.
Occurs how long after injury?
Lasts how long?
inflammatory response
occurs w/in 10min of injury
leakage continues for 24-36 hours
Fluid resuscitation is needed when?
>20% BSA
Burn severity is influenced by (3)
temp of burning agent
duration of contact
type of tissue injured
, Dr. Reid's meaning regarding calculating total BSA of burn;
face
head
arm
anterior arm
face: 4.5%
head: 9% (means front and back)
arm: 9% (means front and back)
anterior arm: 4.5%
Describe the stick man for calculating total BSA for burns
front:
face = 4.5
chest (top & bottom) = 18
legs (each) = 9
