BURNS AND BURN MANAGEMENT
the nurse is assessing a pt who has sustained a suspected deep partial thickness burn.
In determining if this is a superficial or deep partial thickness injury, the nurse would
anticipate - CORRECT ANSWERS-the wound appearance is a waxy white, with a wet
surface and fluid filled blisters
Which dysfunctions can the nurse anticipate in the burn pt with deep partial or full
thickness injury - CORRECT ANSWERS-There is increased risk of infection due to a
loss of integrity of a primary barrier
The nurse is assessing an Emergency room pt for evidence of cardiovascular changes
associated with deep and full thickness burns. What would indicate cardiovascular
changes as a result of a serious burn? - CORRECT ANSWERS-Hypovolumia, slowed
capillary circulation and hyperviscosity are evident
The nurse is performing a primary burn assessment according to the ABCs guidelines.
What indicate s/s of inhalatioln injury? - CORRECT ANSWERS-progressive stridor and
hoarseness
Which nursing diagnosis for the pt with a burn injury has the highest priority during the
resuscitative phase? - CORRECT ANSWERS-Ineffective airway clearance related to
inhalation injury
Using the Parkland formula, calculate the fluid volume for a 154 woman who has
sustained a 36% mixed deep partial and full thickness burn. How much fluid would you
administer during the first 8 hours of fluid resuscitation - CORRECT ANSWERS-5040
mL
While monitoring a burn victim, which of the following is considered the "gold standard"
to evaluate burn resuscitation? - CORRECT ANSWERS-An adult urine output that is
approximately 0.5-1ml/kg/hr
when evaluating the burn extremity for the development of compartment syndrome,
what s/s would alert the nurse to the possibilty that this has developed? - CORRECT
ANSWERS-There is evidence of tautness, decreased capillary refill
coolness and decreased pulses
The burn nurse is aware that wound care during the acute phase involves consideration
of - CORRECT ANSWERS-Full thickness burns require surgical interventions to heal
During the rehabilitaion phase the physical healing focuses primarily on wound healing.
The burn nurse includes this in pt education to assis the pt and family for their return to
the nurse is assessing a pt who has sustained a suspected deep partial thickness burn.
In determining if this is a superficial or deep partial thickness injury, the nurse would
anticipate - CORRECT ANSWERS-the wound appearance is a waxy white, with a wet
surface and fluid filled blisters
Which dysfunctions can the nurse anticipate in the burn pt with deep partial or full
thickness injury - CORRECT ANSWERS-There is increased risk of infection due to a
loss of integrity of a primary barrier
The nurse is assessing an Emergency room pt for evidence of cardiovascular changes
associated with deep and full thickness burns. What would indicate cardiovascular
changes as a result of a serious burn? - CORRECT ANSWERS-Hypovolumia, slowed
capillary circulation and hyperviscosity are evident
The nurse is performing a primary burn assessment according to the ABCs guidelines.
What indicate s/s of inhalatioln injury? - CORRECT ANSWERS-progressive stridor and
hoarseness
Which nursing diagnosis for the pt with a burn injury has the highest priority during the
resuscitative phase? - CORRECT ANSWERS-Ineffective airway clearance related to
inhalation injury
Using the Parkland formula, calculate the fluid volume for a 154 woman who has
sustained a 36% mixed deep partial and full thickness burn. How much fluid would you
administer during the first 8 hours of fluid resuscitation - CORRECT ANSWERS-5040
mL
While monitoring a burn victim, which of the following is considered the "gold standard"
to evaluate burn resuscitation? - CORRECT ANSWERS-An adult urine output that is
approximately 0.5-1ml/kg/hr
when evaluating the burn extremity for the development of compartment syndrome,
what s/s would alert the nurse to the possibilty that this has developed? - CORRECT
ANSWERS-There is evidence of tautness, decreased capillary refill
coolness and decreased pulses
The burn nurse is aware that wound care during the acute phase involves consideration
of - CORRECT ANSWERS-Full thickness burns require surgical interventions to heal
During the rehabilitaion phase the physical healing focuses primarily on wound healing.
The burn nurse includes this in pt education to assis the pt and family for their return to
