A 65 year old male patient has experienced full-thickness electrical burns on the legs and arms. As the
nurse you know this patient is at risk for the following: Select all that apply:
A. Acute kidney injury
B. Dysrhythmia
C. Iceberg effect
D. Hypernatremia
E. Bone fractures
F. Fluid volume overload - Answers A. Acute kidney injury
B. Dysrhythmia
C. Iceberg effect
E. Bone fractures
True or False:
A patient who experiences an alkali chemical burn is easier to treat because the skin will neutralize the
chemical rather than with an acidic chemical burn. - Answers False
As the nurse providing care to a patient who experienced a full-thickness electrical burn you know to
monitor the patient's urine for:
A. Hemoglobin and myoglobin
B. Free iron and white blood cells
C. Protein and red blood cells
D. Potassium and Urea - Answers A. Hemoglobin and myoglobin
Select the patient below who is at MOST risk for complications following a burn:
A. A 42 year old male with partial-thickness burns on the front of the right and left arms and legs.
, B. A 25 year old female with partial-thickness burns on the front of the head and neck and front and
back of the torso.
C. A 36 year old male with full-thickness burns on the front of the left arm.
D. A 10 year old with superficial burns on the right leg. - Answers B. A 25 year old female with partial-
thickness burns on the front of the head and neck and front and back of the torso.
The _____________ layer of the skin helps regulate our body temperature.
A. Epidermis
B. Dermis
C. Hypodermis
D. Fascia - Answers C. Hypodermis
You receive a patient who has experienced a burn on the right leg. You note the burn contains small
blisters and is extremely pinkish red and shiny/moist. The patient reports severe pain. You document
this burn as:
A. 1st Degree (superficial)
B. 2nd Degree (partial-thickness)
C. 3rd Degree (full-thickness)
D. 4th Degree (deep full-thickness) - Answers B. 2nd Degree (partial-thickness)
A 58 year old female patient has superficial partial-thickness burns to the anterior head and neck, front
and back of the left arm, front of the right arm, posterior trunk, front and back of the right leg, and back
of the left leg. Using the Rule of Nines, calculate the total body surface area percentage that is burned?
A. 63%
B. 81%
C. 72%
D. 54% - Answers A. 63%
A 30 year old female patient has deep partial thickness burns on the front and back of the right and left
leg, front of right arm, and anterior trunk. The patient weighs 63 kg. Use the Parkland Burn Formula:
What is the flow rate during the FIRST 8 hours (mL/hr) based on the total you calculated?