Questions with Correct Answers
Assess the patient with tension pneumothorax - Answer-Absence of breath sounds on
the affected side, on equal chest rise, pulses paradoxus, tachycardia and dysrhythmias
such as progression to ventricular tachycardia and ventricular fibrillation, JVD, narrow
pulse pressure, and tracheal deviation.
Treatment is needle decompression with a 14 to 16 gauge catheter at least 2 inches
long just above the third rib. After decompressing treat for shock and breathing
compromise.
Calculate total body surface area burned - Answer-Rule of nines for adults- Head is nine
anterior chest And abdomenis 18, Back is 18, Arms are nine genitals are one and legs
are 18.
Rule of nines for pediatric patients Dash head is 12, anterior chest and abdomen is 18,
Back is 18 arms are nine genital is one and legs are 16.5 each.
Rule of nines for infants - - head is 18 anterior chest and abdomen is 18, Back is 18,
arms Are nine, genitals are one, and legs are 13.5.
The trick to remembering the rule of nines for infants, pediatrics and adults is to
remember that only the head and legs change. As the head gets smaller in proportion to
the body the legs get bigger. Remember head size as nine for adults 12 for pediatrics
and 18 for infants. You can then work out the legs through process of Elimination.
Categorize burn severity - Answer-Major burns include - any burns involving hands,
feet, face, major joints, genitalia, or circumferential burns of other areas. 25% of TBSA If
age 10-15 years. 20% of the total body surface area if younger than 10 years or older
than 50. Any burns associated with Respiratory injury. Burns complicated by fractures
or trauma. Hi voltage burns, chemical burns and burns on Patience younger than five
years or older than 55 years that would be classified as moderate on young adults.
Most burn questions deal with major burns therefore to save time those are the only
ones listed
First second and third-degree burns - Answer-Superficial or first-degree burns involved
only the epidermis. Think sunburn.
Second-degree burns or partial thickness burns: Partial thickness or secondary burns
involves some of the dermis, but they do not destroy the entire thickness of the skin.
The skin is modeled, white to read, and it's often blistered.