NURS 425 Exam 4 - transplant, shock,
burn questions with correct answers
What are some nursing considerations for burns?
Hint: there are 6 - correct answer ✔✔1. prevent dehydration (use IV fluids, I/O)
2. pain and anxiety prevention (w/opioids)
3. burn creams/ointments (bacitracin, Silvadene)
4. dressing and wound care
5. Abx
6. Analgesia (3 kinds: oral analgesia/topical cooling, IV opiates, PO morphine)
Analgesia for small superficial burns - correct answer ✔✔Oral analgesia, topical cooling
Analgesia for large burns - correct answer ✔✔IV opiates
Slow-release analgesia for burns - correct answer ✔✔PO morphine
When would NG tubes be used for patients? - correct answer ✔✔When their TBSA is over 15%
What precaution would you use for burns? - correct answer ✔✔Sterile precautions. Burn patients are
immunocompromised
What are some warning signs of infection? - correct answer ✔✔Increasing WBC, thrombocytosis, weight
loss
What do you do with acute frostbite? Cold burns? - correct answer ✔✔Rapid rewarming then
observation. Monitor labs for HYPERKALEMIA-b/c when cells are frozen and get warmed up again, the
cell membranes rupture. When rbcs are broken up, they will release K+, which can cause arrhythmias
burn questions with correct answers
What are some nursing considerations for burns?
Hint: there are 6 - correct answer ✔✔1. prevent dehydration (use IV fluids, I/O)
2. pain and anxiety prevention (w/opioids)
3. burn creams/ointments (bacitracin, Silvadene)
4. dressing and wound care
5. Abx
6. Analgesia (3 kinds: oral analgesia/topical cooling, IV opiates, PO morphine)
Analgesia for small superficial burns - correct answer ✔✔Oral analgesia, topical cooling
Analgesia for large burns - correct answer ✔✔IV opiates
Slow-release analgesia for burns - correct answer ✔✔PO morphine
When would NG tubes be used for patients? - correct answer ✔✔When their TBSA is over 15%
What precaution would you use for burns? - correct answer ✔✔Sterile precautions. Burn patients are
immunocompromised
What are some warning signs of infection? - correct answer ✔✔Increasing WBC, thrombocytosis, weight
loss
What do you do with acute frostbite? Cold burns? - correct answer ✔✔Rapid rewarming then
observation. Monitor labs for HYPERKALEMIA-b/c when cells are frozen and get warmed up again, the
cell membranes rupture. When rbcs are broken up, they will release K+, which can cause arrhythmias
