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AHN 447 Final Exam Questions With
Verified Answers
Can the epidermis grow back? - Answers✔Yes
5 things encompassed in the dermis - Answers✔blood vessels, hair follicles, sweat, sebaceous,
and lymph glands,
What part of the skin is involved during a superficial thickness injury? - Answers✔Epidermis
2 types of burns that can cause a superficial thickness burn - Answers✔Sunburn and flash burn
How quickly does a superficial thickness burn heal? - Answers✔3-6 days
What is desquamation and with what thickness level burn does it occur? - Answers✔Peeling and
superficial thickness
How soon after receiving a superficial thickness burn will a patient experience desquamation? -
Answers✔2-3 days
3 indicators of a superficial partial thickness burn - Answers✔Moist, blisters, and blanches
3 indicators of a deep partial thickness burn - Answers✔Dry, blanches slowly or not at all, and
edema
Which type of partial thickness burn can progress to further injury? - Answers✔Deep
How long does it take a superficial partial thickness burn to heal? - Answers✔10-24 days
How long does it take a deep partial thickness burn to heal? - Answers✔3-6 weeks
Which type of partial thickness burn will scar? - Answers✔Deep
2 types of wound closure for a full thickness burn - Answers✔Contracture or grafting
What are 2 common issues with full thickness burns? - Answers✔Edema and blood supply
How long will it take a full thickness burn to heal? - Answers✔Weeks to months
How deep does a deep full thickness burn go? - Answers✔Underlying muscle or bone
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2 treatments for deep full thickness burns - Answers✔Grafting or amputation
Do patient's with deep full thickness burns experience pain at the site usually? - Answers✔No
3 main risk factors for mortality from a burn - Answers✔TBSA >40%, inhalation injury, and age
60+
How much TBSA has to happen before there is a systemic fluid shift - Answers✔>25%
What will happen 48-72 hours after a burn to remobilize the fluid in the body if the kidneys are
unaffected? - Answers✔Diuresis
What happens to the K+ levels and H&H during the initial fluid shift following a burn? -
Answers✔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? - Answers✔Hypokalemia
3 types of GI issues that result from a burn - Answers✔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? -
Answers✔NG tube to low wall suction
4 metabolic issues related to burns - Answers✔Hypermetabolism, increased caloric needs,
increased core body temp., and difficulty with enteral nutrition
4 compensatory responses to a burn - Answers✔Increased RR, BG's, and thirst with decreased
UOP
3 phases of burn care - Answers✔Emergent, acute, and rehabilitative
3 essential assessment data points to cover in the emergent phase of burn care - Answers✔Dry
weight, height, and time of injury
What is a common abnormal breath sound with burn victims? - Answers✔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? - Answers✔No,
ABG's
What CVP level do we want to see in burn patients? - Answers✔0-5
What will happen to the specific gravity of a burn patient's urine? - Answers✔It will go up
What is the assessment tool used in the acute phase of caring for a burn victim? -
Answers✔Lund/browder