AHN 447 Final Questions With Complete Solutions2024 ALREADY GRADED A+

Can the epidermis grow back? - CORRECT ANSWEWER Yes 5 things encompassed in the dermis - CORRECT ANSWEWER blood vessels, hair follicles, sweat, sebaceous, and lymph glands, What part of the skin is involved during a superficial thickness injury? - CORRECT ANSWEWER Epidermis 2 types of burns that can cause a superficial thickness burn - CORRECT ANSWEWER Sunburn and flash burn How quickly does a superficial thickness burn heal? - CORRECT ANSWEWER 3-6 days What is desquamation and with what thickness level burn does it occur? - CORRECT ANSWEWER Peeling and superficial thickness How soon after receiving a superficial thickness burn will a patient experience desquamation? - CORRECT ANSWEWER 2-3 days 3 indicators of a superficial partial thickness burn - CORRECT ANSWEWER Moist, blisters, and blanches 3 indicators of a deep partial thickness burn - CORRECT ANSWEWER Dry, blanches slowly or not at all, and edema Which type of partial thickness burn can progress to further injury? - CORRECT ANSWEWER Deep How long does it take a superficial partial thickness burn to heal? - CORRECT ANSWEWER 10-24 days How long does it take a deep partial thickness burn to heal? - CORRECT ANSWEWER 3-6 weeks Which type of partial thickness burn will scar? - CORRECT ANSWEWER Deep 2 types of wound closure for a full thickness burn - CORRECT ANSWEWER Contracture or grafting What are 2 common issues with full thickness burns? - CORRECT ANSWEWER Edema and blood supply How long will it take a full thickness burn to heal? - CORRECT ANSWEWER Weeks to months How deep does a deep full thickness burn go? - CORRECT ANSWEWER Underlying muscle or bone 2 treatments for deep full thickness burns - CORRECT ANSWEWER Grafting or amputation Do patient's with deep full thickness burns experience pain at the site usually? - CORRECT ANSWEWER No 3 main risk factors for mortality from a burn - CORRECT ANSWEWER TBSA 40%, inhalation injury, and age 60+ How much TBSA has to happen before there is a systemic fluid shift - CORRECT ANSWEWER 25% What will happen 48-72 hours after a burn to remobilize the fluid in the body if the kidneys are unaffected? - CORRECT ANSWEWER Diuresis What happens to the K+ levels and H&H during the initial fluid shift following a burn? - CORRECT ANSWEWER Hyperkalemia and high H&H What sort of electrolyte imbalance is a patient at risk for during the re-mobilization of fluid after a burn? - CORRECT ANSWEWER Hypokalemia 3 types of GI issues that result from a burn - CORRECT ANSWEWER Paralytic ileus, decreased GI motility, and Curling's ulcers What will a burn patient typically be put on for the first 48 hours to prevent stress ulcers? - CORRECT ANSWEWER NG tube to low wall suction 4 metabolic issues related to burns - CORRECT ANSWEWER Hypermetabolism, increased caloric needs, increased core body temp., and difficulty with enteral nutrition 4 compensatory responses to a burn - CORRECT ANSWEWER Increased RR, BG's, and thirst with decreased UOP 3 phases of burn care - CORRECT ANSWEWER Emergent, acute, and rehabilitative 3 essential assessment data points to cover in the emergent phase of burn care - CORRECT ANSWEWER Dry weight, height, and time of injury What is a common abnormal breath sound with burn victims? - CORRECT ANSWEWER Wheezing If a burn victim has a normal SpO2 does that mean they don't have carbon monoxide poisoning? If not, what sort of test is more definitive for carbon monoxide poisoning? - CORRECT ANSWEWER No, ABG's What CVP level do we want to see in burn patients? - CORRECT ANSWEWER 0-5 What will happen to the specific gravity of a burn patient's urine? - CORRECT ANSWEWER It will go up What is the assessment tool used in the acute phase of caring for a burn victim? - CORRECT ANSWEWER Lund/browder 2 common assessment findings related to the GI tract in a burn victim - CORRECT ANSWEWER Hypoactive bowel sounds and abdominal distention What happens to a burn victims H&H after 48-72 hours - CORRECT ANSWEWER Goes back down When should you transfuse a burn victim - CORRECT ANSWEWER If they're hypoxic Would you feed a burn victim patient without any bowel sounds through the gut? - CORRECT ANSWEWER NO What would a chest x-ray be ordered to assess for in a burn victim? - CORRECT ANSWEWER Pulmonary edema What is the Parkland formula for fluid resuscitation in burn victims? - CORRECT ANSWEWER 4XTBSAXweight, give half in the first 8 hours and half in the next 16 hours What is the most commonly used fluid for burn patients? - CORRECT ANSWEWER Lactated Ringer's If a burn patient is hyperkalemic, what fluid resuscitation would you give? - CORRECT ANSWEWER NS When does the acute phase of burn management begin and end? - CORRECT ANSWEWER Begins 36 hours after the injury to the closure of the last wound How often are burn patients given hydrotherapy and topical antibiotics? - CORRECT ANSWEWER Daily