Burns - Nurs 265 Exam 3 with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
Classification of Burns - correct answer✔✔Superficial Partial-Thickness (1st Degree) |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Deep Partial-Thickness (2nd Degree) |||\\\ |||\\\ |||\\\
Full-Thickness (3rd Degree) |||\\\ |||\\\
Sunburn; Leaves skin pink or red; Dry; Painful; Slight edema; entire dermis & variable portions
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
of the dermis layer of skin are destroyed - correct answer✔✔Superficial Partial-Thickness
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Injury to deeper portions of the dermis; Painful (sensitive to touch and cold air); appears red or
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
white, weeps fluid, blisters present; hair follicles intact; very edematous; blanching following
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
by capillary refill; heals without surgical intervention, usually doesn't scar - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Deep Partial-Thickness |||\\\
Involves total destruction of dermis & epidermis; Skin can't regenerate; Requires skin grafting;
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Underlying tissue (fat, fascia, tendon, bone) may be involved; Wound appears dry & leathery as |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
eschar develops; Painless - correct answer✔✔Full-Thickness
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Rule of Nines - correct answer✔✔9% Head & Neck
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
9% Each Arm |||\\\ |||\\\
18% Anterior Chest |||\\\ |||\\\
18% Posterior Chest |||\\\ |||\\\
18% Each Leg |||\\\ |||\\\
1% Perineal area |||\\\ |||\\\
, Pathophysiology of Burns - correct answer✔✔Caused by a transfer of energy from a heat |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
source to the body |||\\\ |||\\\ |||\\\
EX: Thermal (includes electrical)
|||\\\ |||\\\ |||\\\
Radiation
Chemical
Burns less than 25% TBSA produce primarily a local response
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Burns more than 25% produce a local & systemic response & are considered major burns
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Systemic response includes release of cytokines & other mediators into the systemic circulation
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Fluid shifts & results in decreased tissue perfusion & organ dysfunction - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Physiologic Changes with Burns |||\\\ |||\\\ |||\\\
Effects of Major Burn Injuries - correct answer✔✔Fluid & electrolyte shifts; Cardiovascular
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
effects; Pulmonary injury (Upper airway, Inhalation below the glottis, Carbon monoxide
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
poisoning, Restrictive defects); Renal & GI alterations; Immunologic alterations; Effect upon
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
thermoregulation
Phases of Burn Injury - correct answer✔✔Emergent or Resuscitative Phase
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Acute or Intermediate Phase
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Rehabilitation Phase |||\\\
On Scene Care for Emergent/Resuscitative Phase - correct answer✔✔Prevent injury to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
rescuers; Stop injury (extinguish flames, cool the burn, irrigate chemical burns); ABC's!!
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
(establish airway, breathing, & circulation); Start O2 & large bore IV's; Remove restrictive
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
objects & cover wounds; Do assessment, survey all body systems, obtain a history of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
incident & pertinent patient history |||\\\ |||\\\ |||\\\ |||\\\
NOTE: treat patients with falls & electrical injuries for potential cervical spine injuries
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
Classification of Burns - correct answer✔✔Superficial Partial-Thickness (1st Degree) |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Deep Partial-Thickness (2nd Degree) |||\\\ |||\\\ |||\\\
Full-Thickness (3rd Degree) |||\\\ |||\\\
Sunburn; Leaves skin pink or red; Dry; Painful; Slight edema; entire dermis & variable portions
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
of the dermis layer of skin are destroyed - correct answer✔✔Superficial Partial-Thickness
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Injury to deeper portions of the dermis; Painful (sensitive to touch and cold air); appears red or
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
white, weeps fluid, blisters present; hair follicles intact; very edematous; blanching following
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
by capillary refill; heals without surgical intervention, usually doesn't scar - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Deep Partial-Thickness |||\\\
Involves total destruction of dermis & epidermis; Skin can't regenerate; Requires skin grafting;
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Underlying tissue (fat, fascia, tendon, bone) may be involved; Wound appears dry & leathery as |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
eschar develops; Painless - correct answer✔✔Full-Thickness
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Rule of Nines - correct answer✔✔9% Head & Neck
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
9% Each Arm |||\\\ |||\\\
18% Anterior Chest |||\\\ |||\\\
18% Posterior Chest |||\\\ |||\\\
18% Each Leg |||\\\ |||\\\
1% Perineal area |||\\\ |||\\\
, Pathophysiology of Burns - correct answer✔✔Caused by a transfer of energy from a heat |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
source to the body |||\\\ |||\\\ |||\\\
EX: Thermal (includes electrical)
|||\\\ |||\\\ |||\\\
Radiation
Chemical
Burns less than 25% TBSA produce primarily a local response
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Burns more than 25% produce a local & systemic response & are considered major burns
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Systemic response includes release of cytokines & other mediators into the systemic circulation
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Fluid shifts & results in decreased tissue perfusion & organ dysfunction - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔Physiologic Changes with Burns |||\\\ |||\\\ |||\\\
Effects of Major Burn Injuries - correct answer✔✔Fluid & electrolyte shifts; Cardiovascular
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
effects; Pulmonary injury (Upper airway, Inhalation below the glottis, Carbon monoxide
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
poisoning, Restrictive defects); Renal & GI alterations; Immunologic alterations; Effect upon
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
thermoregulation
Phases of Burn Injury - correct answer✔✔Emergent or Resuscitative Phase
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Acute or Intermediate Phase
|||\\\ |||\\\ |||\\\
Rehabilitation Phase |||\\\
On Scene Care for Emergent/Resuscitative Phase - correct answer✔✔Prevent injury to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
rescuers; Stop injury (extinguish flames, cool the burn, irrigate chemical burns); ABC's!!
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
(establish airway, breathing, & circulation); Start O2 & large bore IV's; Remove restrictive
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
objects & cover wounds; Do assessment, survey all body systems, obtain a history of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
incident & pertinent patient history |||\\\ |||\\\ |||\\\ |||\\\
NOTE: treat patients with falls & electrical injuries for potential cervical spine injuries
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
