AHN 447 Final Test Questions with Correct Answers Latest Update

AHN 447 Final Test Questions with Correct Answers Latest Update 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 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 2 common assessment findings related to the GI tract in a burn victim - Answers Hypoactive bowel sounds and abdominal distention What happens to a burn victims H&H after 48-72 hours - Answers Goes back down When should you transfuse a burn victim - Answers If they're hypoxic Would you feed a burn victim patient without any bowel sounds through the gut? - Answers NO What would a chest x-ray be ordered to assess for in a burn victim? - Answers Pulmonary edema What is the Parkland formula for fluid resuscitation in burn victims? - Answers 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? - Answers Lactated Ringer's If a burn patient is hyperkalemic, what fluid resuscitation would you give? - Answers NS When does the acute phase of burn management begin and end? - Answers Begins 36 hours after the injury to the closure of the last wound How often are burn patients given hydrotherapy and topical antibiotics? - Answers Daily What is done with the blisters of burn patients? - Answers Large ones are cut open to drain What is a form of enzymatic debridement? - Answers Collagenase What type of graft is an allograft? - Answers From a donor What type of graft is a xenograft? - Answers From a pig What type of graft is an autograft? - Answers From the patient When does the rehabilitative phase begin and end? - Answers From the closure of the last wound to the highest degree of function achieved Remember to study the rule of nines, Lund, and the practice problem at the end of the