NSG 6420: Dermatologic Disorders
Study Guide Exam And Actual Answers.
BURNS - Answer MALE
WHITE (60%)
85% of burn-deaths associated with house fires
---First-degree burn—epidermal burn
Nonblanching erythema, mild to moderately painful, usually nonedematous, not included when
calculating TBSA, healing time 1 week
---Second-degree burn—SUPERFICIAL, partial-thickness burn
Wet, ^^PINK^^ wound bed with ***blistering, mild edema, very painful, healing time 10-14
days
-----Second-degree burn—MODERATE, partial-thickness burn
^^RED^^ wound base with minimal exudates, edematous, moderately painful, healing time 2-4
weeks
----Second-degree burn—DEEP, partial-thickness burn
Wound bed is dry, ^^PALE PINK^^ to white, rubbery in appearance, edematous, minimally
PAINFUL, hair loss (damage at level of nerve endings and hair follicles), healing time 3-8 weeks
------Third-degree burn—FULL-thickness burn
Wound bed dry, ^^WHITE^^ or tan eschar, edematous, PAINLESSSSS and insensate, will require
excision and grafting to heal
-------Fourth-degree burn--
Term more frequently used in Europe than in the United States; refers to burns involving
underlying structures such as FAT, fascia, muscle, or BONE
-----Circumferential burn----
Burn injury encompassing the entire circumference of a digit, extremity, or trunk; may
, Soot deposits in oropharynx, carbaceous sputum, singed nasal hair, facial edema, hoarseness,
progressing airway edema, burns that occur in an enclosed environment, presence of carbon
monoxide poisoning
Carbon monoxide poisoning is characterized by headache, confusion, visual changes, nausea,
vomiting, dizziness, disorientation and at higher levels, by tachycardia, tachypnea, seizures, and
death.
BSA (Rule of 9's) - Answer CHEST 9%
UPPER BACK 9%
LOWER BACK 9%
ABDOMEN 9%
1 ANTERIOR LEG 9%
1 POSTERIOR LEG 9%
FACE 4.5%
back of HEAD 4.5%
one ANTERIOR ARM 4.5%
one POSTERIOR ARM 4.5%
GROIN: 1%
PALMar HAND: 1%
BURNS TRANSFER CRITERIA - Answer 1. Partial-thickness burns greater than 10% of TBSA
2. Burns that involve the face, hands, feet, genitalia, perineum, or major joints
3. Third-degree burns in any age group
4. Electrical burns, including lightning injury
5. Chemical burns
6. Inhalation injury
7. Burn injury in patients with preexisting medical disorders that could complicate management,
prolong recovery, or affect mortality
8. Any patient with burns and concomitant trauma in which the burn injury poses the greatest
risk of mortality or morbidity; if trauma poses the greater immediate risk, the patient may be
stabilized in a trauma center before transfer to a burn unit
Study Guide Exam And Actual Answers.
BURNS - Answer MALE
WHITE (60%)
85% of burn-deaths associated with house fires
---First-degree burn—epidermal burn
Nonblanching erythema, mild to moderately painful, usually nonedematous, not included when
calculating TBSA, healing time 1 week
---Second-degree burn—SUPERFICIAL, partial-thickness burn
Wet, ^^PINK^^ wound bed with ***blistering, mild edema, very painful, healing time 10-14
days
-----Second-degree burn—MODERATE, partial-thickness burn
^^RED^^ wound base with minimal exudates, edematous, moderately painful, healing time 2-4
weeks
----Second-degree burn—DEEP, partial-thickness burn
Wound bed is dry, ^^PALE PINK^^ to white, rubbery in appearance, edematous, minimally
PAINFUL, hair loss (damage at level of nerve endings and hair follicles), healing time 3-8 weeks
------Third-degree burn—FULL-thickness burn
Wound bed dry, ^^WHITE^^ or tan eschar, edematous, PAINLESSSSS and insensate, will require
excision and grafting to heal
-------Fourth-degree burn--
Term more frequently used in Europe than in the United States; refers to burns involving
underlying structures such as FAT, fascia, muscle, or BONE
-----Circumferential burn----
Burn injury encompassing the entire circumference of a digit, extremity, or trunk; may
, Soot deposits in oropharynx, carbaceous sputum, singed nasal hair, facial edema, hoarseness,
progressing airway edema, burns that occur in an enclosed environment, presence of carbon
monoxide poisoning
Carbon monoxide poisoning is characterized by headache, confusion, visual changes, nausea,
vomiting, dizziness, disorientation and at higher levels, by tachycardia, tachypnea, seizures, and
death.
BSA (Rule of 9's) - Answer CHEST 9%
UPPER BACK 9%
LOWER BACK 9%
ABDOMEN 9%
1 ANTERIOR LEG 9%
1 POSTERIOR LEG 9%
FACE 4.5%
back of HEAD 4.5%
one ANTERIOR ARM 4.5%
one POSTERIOR ARM 4.5%
GROIN: 1%
PALMar HAND: 1%
BURNS TRANSFER CRITERIA - Answer 1. Partial-thickness burns greater than 10% of TBSA
2. Burns that involve the face, hands, feet, genitalia, perineum, or major joints
3. Third-degree burns in any age group
4. Electrical burns, including lightning injury
5. Chemical burns
6. Inhalation injury
7. Burn injury in patients with preexisting medical disorders that could complicate management,
prolong recovery, or affect mortality
8. Any patient with burns and concomitant trauma in which the burn injury poses the greatest
risk of mortality or morbidity; if trauma poses the greater immediate risk, the patient may be
stabilized in a trauma center before transfer to a burn unit
