HESI Case Study Burns Generate Others

HESI Case Study Burns Generate Others - What is the first priority in managing a burn patient upon arrival in the emergency department? ️️ Assess and secure the airway. - Why are electrical burns considered more dangerous than superficial burns? ️️ They can cause deep tissue damage and cardiac arrhythmias without obvious external injury. - What key sign indicates the need for intubation in a burn patient with inhalation injury? ️️ Stridor or hoarseness. - Why is carbon monoxide poisoning a concern in burn patients? ️️ It can occur due to smoke inhalation and reduces oxygen delivery by binding to hemoglobin. - How is carbon monoxide poisoning treated in burn patients? ️️ Administer 100% oxygen via a non-rebreather mask or hyperbaric oxygen therapy if severe. - What is the main concern with burn injuries involving more than 20% of the total body surface area (TBSA)? ️️ Hypovolemic shock due to massive fluid loss. - Why is urine output monitoring critical during fluid resuscitation in burn patients? ️️ It helps evaluate kidney function and the adequacy of resuscitation. - How can burns lead to acute kidney injury (AKI)? ️️ Due to decreased perfusion and myoglobin release from muscle damage in electrical burns. - Why is a sterile dressing used on burn wounds? ️️ To reduce the risk of infection and protect the wound. - What complication can occur if circumferential chest burns are not treated promptly? ️️ Restriction of chest wall movement, leading to respiratory compromise. - Why are deep partial-thickness burns often more painful than full-thickness burns? ️️ Nerve endings are intact in partial-thickness burns but destroyed in full-thickness burns. - What is the main purpose of debridement in burn care? ️️ To remove dead tissue and facilitate wound healing. - Why is continuous temperature monitoring important for burn patients? ️️ They are at high risk for hypothermia or hyperthermia due to impaired thermoregulation. - What electrolyte imbalance is common during the initial phase of burn injury? ️️ Hyperkalemia, due to the release of potassium from damaged cells. - Why are prophylactic antibiotics not routinely used in burn care? ️️ They can promote antibiotic resistance unless there is an established infection. - What does the presence of cherry-red skin suggest in a burn patient? ️️ Carbon monoxide poisoning. - How does early enteral feeding benefit burn patients? ️️ It preserves gut integrity and prevents stress ulcers. - What is the purpose of compression garments during burn recovery? ️️ To minimize scarring and promote uniform healing. - Why should range-of-motion exercises be started early in burn rehabilitation? ️️ To prevent joint stiffness and maintain function. - What type of isolation precautions are necessary for burn patients? ️️ Reverse isolation to protect the patient from infections due to immunosuppression. - Why should blood glucose levels be monitored closely in burn patients? ️️ Stress and infection can lead to hyperglycemia. - What is the significance of the Rule of Nines in burn assessment? ️️ It estimates the percentage of total body surface area (TBSA) affected by burns. - Why are burn patients at high risk for gastric ulcers? ️️ The stress response increases gastric acid production, leading to Curling’s ulcers. - How is pain typically managed in burn patients during dressing changes? ️️ Administer short-acting intravenous analgesics prior to the procedure. - What role does occupational therapy play in the long-term care of burn patients? ️️ It helps them regain independence in daily activities and adapt to any functional limitations. Meet the Client ️️The Smithville High School band is enroute to a Friday night football game. As the bus attempts to pass an 18-wheeler on a two lane highway, the bus loses traction and lands on its side, sliding 500 feet before coming to a stop and then catching on fire. Witnesses immediately dial 911 and Emergency Medical Services personnel within 10 minutes of the first phone call. James Watt, a 14 year-old student is trapped by debris and is unable to get out of the bus. Which action is included when a Level I disaster is declared? ️️All local hospitals prepare to receive casualties. Which action should the nurse implement to help these family members cope with this tragedy? ️️Designate specific family areas that are staffed with counselors. EMS personnel triage clients, with multiple casualties noted. Which action should the triage nurse implement first? ️️Place a disaster tag securely on each victim. Triage determines in what order a client is seen by a healthcare provider (HCP). Which of the following clients would the nurse identify with a red tag? ️️A client whose vital signs include respirations at 22 breaths/min , pulse at 120 beats/min, and blood pressure at 85/52 mmHg. A client with a pulsating femur wound. A client with full thickness burns over 50% of the body. Which triage category should the nurse assign to James? ️️Priority 1, Color Red. The client has many physical, emotional, and psychosocial needs. Which intervention is most important for the nurse to implement upon admission? ️️Establish and maintain an open airway. The nurse should document which percentage of body surface? ️️45% James grimaces in pain as the nurse assesses James' red and blistered wounds that are affecting his epidermis and dermis. Based on this assessment, which finding best describes the James' burns? ️️Partial thickness or second degree burns. Based on the nurse's understanding of the Parkland Formula, which rate correctly describes the time the fluid is given to the client? ️️The nurse administers the first half of the fluid from the time the burn occurred over 8 hours, and the second half over the following 16 hours.