NUR 211 Burns – Burtram Exam
Questions and Answers 100% Pass
What factors increase morbidity in burn patients? - ✔✔-Burns covering
more than 50% of body surface area
-Inhalation injuries
-Very young and elderly patients
-Additional injuries
What layer of skin do you need to have for your skin to regenerate? -
✔✔Dermis (at least some of it)
What is the function of the skin? - ✔✔-Protection from infection
-Prevention of loss of body fluids
-Thermoregulation
1
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,-Production of vitamin D
-Excretion
-Determination of identity
-Sensation reception
What happens to the skin as we age? - ✔✔-Flattened dermal-epidermal
junction
-Dermal and subcutaneous atrophy
-Reduced microcirculation
-*thinned skin, predisposition to deeper burns, and delayed or poor
healing*
-decreased ability to tolerate burn stress *(underlying dz process can
complicate)*
What are the mechanisms of burns? - ✔✔-Thermal
-Chemical
-Electrical
2
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,-Radiation (sunburns, nuclear incident, cancer tx)
-Inhalation injury occurs about 20-50% of the time with skin injury
What is the most recorded mechanism of burn injury in the US? -
✔✔thermal (about 90%)
What is thermal injury? - ✔✔-Skin damaged by contact with heat
>Flame
>Scalding liquids
>Heat source like a heater
>Steam injuries
What determines the severity of thermal burns? - ✔✔-Duration of contact
-Temperature of agent
•↑Risk of injury temperature > 40° C (104° F)
-Amount of tissue exposed
-Age of patient
3
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, What happens to the liquid in our bodies with a thermal burn if the
temperature is high enough? - ✔✔Anything liquid in our body turns into a
solid (coagulates)
What is the average temperature of a water heater? - ✔✔140° F
(120° F - recommended setting)
What are examples of thermal injury? - ✔✔flame (e.g., house fires, ignition
of clothing, explosion of gases), scalding liquids (e.g., water, cooking oil,
grease), steam (e.g., car radiators, cooking pots, industrial equipment), or
direct contact with a heat source (e.g., space heater, metal).
Why are the young and elderly at increased risk? - ✔✔Thin skin, loss of
sensation (like from DM), etc.
How can chemical burns take place? - ✔✔-Contact
-Inhalation of fumes
-Ingestion or injection
4
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Questions and Answers 100% Pass
What factors increase morbidity in burn patients? - ✔✔-Burns covering
more than 50% of body surface area
-Inhalation injuries
-Very young and elderly patients
-Additional injuries
What layer of skin do you need to have for your skin to regenerate? -
✔✔Dermis (at least some of it)
What is the function of the skin? - ✔✔-Protection from infection
-Prevention of loss of body fluids
-Thermoregulation
1
100% Pass Guarantee Katelyn Whitman, All Rights
,-Production of vitamin D
-Excretion
-Determination of identity
-Sensation reception
What happens to the skin as we age? - ✔✔-Flattened dermal-epidermal
junction
-Dermal and subcutaneous atrophy
-Reduced microcirculation
-*thinned skin, predisposition to deeper burns, and delayed or poor
healing*
-decreased ability to tolerate burn stress *(underlying dz process can
complicate)*
What are the mechanisms of burns? - ✔✔-Thermal
-Chemical
-Electrical
2
100% Pass Guarantee Katelyn Whitman, All Rights
,-Radiation (sunburns, nuclear incident, cancer tx)
-Inhalation injury occurs about 20-50% of the time with skin injury
What is the most recorded mechanism of burn injury in the US? -
✔✔thermal (about 90%)
What is thermal injury? - ✔✔-Skin damaged by contact with heat
>Flame
>Scalding liquids
>Heat source like a heater
>Steam injuries
What determines the severity of thermal burns? - ✔✔-Duration of contact
-Temperature of agent
•↑Risk of injury temperature > 40° C (104° F)
-Amount of tissue exposed
-Age of patient
3
100% Pass Guarantee Katelyn Whitman, All Rights
, What happens to the liquid in our bodies with a thermal burn if the
temperature is high enough? - ✔✔Anything liquid in our body turns into a
solid (coagulates)
What is the average temperature of a water heater? - ✔✔140° F
(120° F - recommended setting)
What are examples of thermal injury? - ✔✔flame (e.g., house fires, ignition
of clothing, explosion of gases), scalding liquids (e.g., water, cooking oil,
grease), steam (e.g., car radiators, cooking pots, industrial equipment), or
direct contact with a heat source (e.g., space heater, metal).
Why are the young and elderly at increased risk? - ✔✔Thin skin, loss of
sensation (like from DM), etc.
How can chemical burns take place? - ✔✔-Contact
-Inhalation of fumes
-Ingestion or injection
4
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