Adult Health II Final Questions And Correct Answers (100% Correct Verified Answers)

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Adult Health II Final Questions And Correct
Answers (100% Correct Verified Answers)

1. Burns CORRECT ANSWER -
2. hot injury CORRECT ANSWER - caused by touching a hot surface, most often in kids. severity of burn
depends on how hot surface was, and length of contact. body surface makes up burn prognosis.
3. risk of death in hot injury CORRECT ANSWER - increases in very young, and very old. high surface
area increases chance of death.
4. fluid resuscitation CORRECT ANSWER - depending on burn severity, some may need fluid
resuscitation
5. chemical burn CORRECT ANSWER - coming in contact with acidic or alkalotic substance. alkalotic is much
more severe, and causes cellular damage quickly. may not be able to see these burns on the outside, might have been
ingested.
6. chemical burn care CORRECT ANSWER - wash ott contact, limit exposure time. if ingested, don't
induce vomiting. may need NG to dilute substance inside.
7. electrical burn CORRECT ANSWER - caused by heat generated from a current. severity depends on how
big/strong current was, and length of contact, surface area involved, pathway taken from inside the skin. bones, muscles,
and fat create most resistance. organs are most likely to be attected due to least amount of resistance. if heart is attected, place
on 24 hour EKG because they're most at risk for fatal dysrhythmias during first 24 hours. will kill muscles, dead
muscles release myoglobin, it'll eventually end u[ getting stuck in kidneys/renal tubules which leads to acute tubular
necrosis. assess kidney function, give lots of fluids. can lead to muscle contractures, safety risk. vessels begin to heal after 24
hours. first 24 hours are acute care, days after begin recovery. electricity kills vascularity.
8. smoke inhalation CORRECT ANSWER - caused by smoking something hot, may damage airway leading t
breathing issues. want
to do rapid assessment due to airway involvement.
9. carbon monoxide poisoning CORRECT ANSWER - tasteless, smelless gas. takes over receptors
for oxygen in the body, moves faster than oxygen. pulse ox will only show if there is something in the receptors- this is
not an accurate reading. ABG's will tell what paO2 is. usually will see late s/s CORRECT ANSWER - confusion, hypoxia,
restlessness, coma. carboxyhemoglobin level should be less than 3% in non-smokers. high percentage is higher chance of

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death. will have cherry red skin, decreased paO2. treatment CORRECT ANSWER - 100% oxygen to displace carbon
monoxide.
10. epidermis CORRECT ANSWER - outer layer of skin. first thing attected. paper thin. doesn't have many function
may see superficial
redness.
11. dermis CORRECT ANSWER - inner layer of skin. will see blisters. about 40 sheets of paper thick. has sweat
glands, nerve endings, pain receptors, blood vessels, hair follicles, connective tissue. dont pop blisters.
12. subcutaneous CORRECT ANSWER - fat, insulator. more fat person has, more protected they are. shouldn't
feel pain unless burns of other degrees in other areas.
13. superficial partial thickness CORRECT ANSWER - on the surface, sunburn. some mild/mod pain.
redness- no blisters, may blanch with pressure.
14. deep partial thickness CORRECT ANSWER - still on the surface. 2nd degree. dermis is being burnt. will
have forming blisters. mod/severe pain, mod/severe edema.
15. full thickness CORRECT ANSWER - goes into subQ or muscle tissue. 3rd and 4th degree burns.
tendons, cartilage, bones being attected. may not feel pain at the site, but possibly at other degree sites. will look dry,
leathery. treatment is skin grafting.
16. total body surface area CORRECT ANSWER - amount
of surface area damaged head/neck CORRECT ANSWER -
9%
hands 9% each
neck to groin CORRECT
ANSWER - 18% each side legs
CORRECT ANSWER -
18% each
genitalia CORRECT ANSWER - 1%
17. hypovolemia CORRECT ANSWER - fluid leaking out of cellular spacfes
18. decreased capillary permeability CORRECT ANSWER - stutt can go in/out very fast. fluid loss,
decreased intravascular volume. volume is lost, blood becomes concentrated due to loss of water, very thick.
increased blood viscosity, thickness. leading to hemoconcentration, hematocrit goes up. increased peripheral/systemic
vascular resistance (SVR). svr decreases with thin blood, increases with thick. this leads to burn shock

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19. Total fluid requirement CORRECT ANSWER - 4 x BSA x wt in kg

first 8 hours, give 1/2 fluid requirement. last
16 hours give remaining 1/2
20. dietary needs CORRECT ANSWER - if pt can eat, let them. NG for those who cannot eat. if cannot have
anything in stomach do
TPN

if NG, do residual checks every 4 hours.
21. curling ulcers CORRECT ANSWER - peptic ulcer in burn victims stomach
22. ROM CORRECT ANSWER - necessary to do active/passive ROM. give pain meds prior, FUNCTION OVER
COMFORT.
23. acute phase burn injury complications CORRECT ANSWER - cardiac CORRECT
ANSWER - ekg abnormalities, decreased BP, increased HR, decreased circulation, DVT possibility
24. acute phase burn injury complications CORRECT ANSWER - respiratory CORRECT
ANSWER - pneumonia, pulmonary edema, s/s- ards and atelectasis
25. acute phase burn injury complications CORRECT ANSWER - renal CORRECT
ANSWER - decreased urine output, kidney failure, acute tubular necrosis, renal ischemia, acute renal
injury
26. acute phase burn injury complications CORRECT ANSWER - neuro CORRECT
ANSWER - decreased LOC, delirium, cellular damage, confusion
27. acute phase burn injury complications CORRECT ANSWER - endocrine
CORRECT ANSWER - cortisol increases BG
28. acute phase burn injury complications CORRECT ANSWER - GI CORRECT
ANSWER - paralytic iliac, curlings ulcer
29. antibiotics CORRECT ANSWER - don't give systemic abx to burn patients, they may not be able to circulate the
body. use topical/lo- cal instead, this will better prevent infection.
30. head injuries CORRECT ANSWER -
31. ct scan CORRECT ANSWER - will show a bleed- fast results, shows location of bleed.
32. c-spine (spiral) CORRECT ANSWER - will show spinal cord damage
33. mri CORRECT ANSWER - would not use mri in critical instances- takes too long to result, only shows soft tissue