HESI RN Med-Surg Burns Latest Update

HESI RN Med-Surg Burns Latest Update List 4 categories of burns - ANS-thermal, radiation, chemical, electrical burn depth is a measure of severity. describe the characteristics of superficial partial-thickness, deep partial-thickness, and full-thickness burns - ANS-superficial, first degree: pink/red skin, slight edema, pain; deep, second degree: destruction of epidermis and upper layers of dermis; white or red, very edematous, sensitive to tough and cold air, hair does not pull out easily. Full, third degree: total destruction of dermis and epidermis; reddened areas do not blanch with pressure; not painful; inelastic; waxy white skin to brown, leathery eschar. Describe fluid mgnt in the emergent phase, acute phase, and rehab phase of burned client - ANS-stage 1 (emergent) replace fluids titrated to urine output; stage 2 (acute) infusion site is maintained in case supplemental IV fluids are needed; stage 3 (rehab) no extra fluids are needed, but high-protein drinks are recommended. Describe pain mgnt of burned client - ANS-admin pain meds, especially before dressing wound. teach distraction and relaxation techniques. teach use of guided imagery. Outline admission care of the burned client. - ANS-provide patent airway because intubation may be necessary. determine baseline data. intate flui and electrolyte therapy. admin pain med. determine depth and extent of burn. admin tetanus toxoid. insert NG tube Nutritional status is major concern when caring for a burned client. list 3 specific dietary interventions used with burned clients...