Med Surg II - EXAM 1 Questions and Answers
with Verified Solutions | Latest Updated 2026
causes of burns thermal: flash, scald, hot objects, flames
electrical
chemical
radiation
minor burn <10% BSA
moderate burn 10-40% BSA
major burn >40% BSA
or smaller burn with inhalation injury
critera for burn center referral >10% BSA
hands, feet, face, genitals, perineum, or
major joints
any full thickness burns
chemical burns
electrical burns
burns w/ inhalation injury
major pre-existing conditions
children with burns if no peds care
available
burns - immediate measures establish airway
stop burning process
gain IV access
,inhalation injury can be from heat or smoke/debris
inhalation injury - S/S pt has face and/or neck burns
singed eyebrows, facial or nasal hair
soot in or around mouth
sputum with burned debris or soot, smoky
color
hoarseness in voice
stridor/respiratory distress
inhalation injury - management immediate intubation
airway will continue to swell as time
passes ->
frequent respiratory assessments
stopping the burning process remove clothing if not stuck to pt
remove metal objects (buckles, piercings,
zippers)
unless stuck to pt
brush or flush chemicals
brush or flushing chemical burns apply PPE
call poison control for guidance on how to
remove
to avoid giving yourself a chemical burn
, burns - IV access >20 BSA needs IV access and volume
resuscitation
2 large bore IVs
may put in burned tissue if both arms are
burned
- utitilize US to identify access
- if burns are too deep blood vessels may
be
coagulated
burns - secondary assessment ample surveys
allergies
last meal
PMH
ask pt, first responders, family, friends
burn - assessment other traumatic injuries
estimate size
depth of burn
rule of 9s estimate body surface burned - partial and
full
thickness only
rule of 9s - head 9%
face 4.5%
back of head 4.5%
rule of 9s - chest front 18%
back 18%
total: 36%
with Verified Solutions | Latest Updated 2026
causes of burns thermal: flash, scald, hot objects, flames
electrical
chemical
radiation
minor burn <10% BSA
moderate burn 10-40% BSA
major burn >40% BSA
or smaller burn with inhalation injury
critera for burn center referral >10% BSA
hands, feet, face, genitals, perineum, or
major joints
any full thickness burns
chemical burns
electrical burns
burns w/ inhalation injury
major pre-existing conditions
children with burns if no peds care
available
burns - immediate measures establish airway
stop burning process
gain IV access
,inhalation injury can be from heat or smoke/debris
inhalation injury - S/S pt has face and/or neck burns
singed eyebrows, facial or nasal hair
soot in or around mouth
sputum with burned debris or soot, smoky
color
hoarseness in voice
stridor/respiratory distress
inhalation injury - management immediate intubation
airway will continue to swell as time
passes ->
frequent respiratory assessments
stopping the burning process remove clothing if not stuck to pt
remove metal objects (buckles, piercings,
zippers)
unless stuck to pt
brush or flush chemicals
brush or flushing chemical burns apply PPE
call poison control for guidance on how to
remove
to avoid giving yourself a chemical burn
, burns - IV access >20 BSA needs IV access and volume
resuscitation
2 large bore IVs
may put in burned tissue if both arms are
burned
- utitilize US to identify access
- if burns are too deep blood vessels may
be
coagulated
burns - secondary assessment ample surveys
allergies
last meal
PMH
ask pt, first responders, family, friends
burn - assessment other traumatic injuries
estimate size
depth of burn
rule of 9s estimate body surface burned - partial and
full
thickness only
rule of 9s - head 9%
face 4.5%
back of head 4.5%
rule of 9s - chest front 18%
back 18%
total: 36%
