PATHWAYS TO PATIENT CARE: NUR 185 EXAM
Stage 1 burn is called the ? phase
How long does it last? - answers✔✔Stage 1 - Emergent phase
Lasts 48 hours
What complications can occur in stage 1 phase of a burn? - answers✔✔Hypovolemic shock
Hyperkalemia
Olugruia (low urine output)
Stage 2 of burns is called the ? phase - answers✔✔Acute stage
Diuretic stage
Lasts 48-72 hours
What complications can occur in stage 2 of the burn phase? - answers✔✔Circulatory overload
Hypokalemia
Polyuria
*we are worried about chronic heart failure*
Stage 3 of burns is called the ? phase - answers✔✔Rehabilitation phase
Goal is to prevent infection and return the patient to a normal level of functioning
first degree burn has what characteristics? - answers✔✔Superficial Burn
Epidermis is affected
, warm to touch
red/pink with NO blisters
Second degree burns have what characteristics? - answers✔✔Partial thickness burn
Epidermis and Dermis are effected
Very painful; appears shiny and moist
Red/Pink with blisters
Third degree burns have what characteristics? - answers✔✔Full thickness burn
Epidermis, dermis and SubQ tissues are destroyed
Hair follicles, sweat glands and nerves are destroyed
Not painful die to nerve endings being burnt away
Skin will not heal without grafts
What are the 3 types of fire extinguishers? - answers✔✔Type A: Paper, wood, cloth
Type B: Flammable liquid fires (grease/oil fires)
Type C: Electrical Fires
RN delegating to LPN which would you be able to do within your scope of practice? -
answers✔✔insert Iv in 45 yr old rating pain 10/10 about to go to the cath lab
Nurse taking care of a male pt with burns over 50% of body pt has been in ER for 20 mins, the
nurse would take which action first? - answers✔✔Hang 10 ccs of lactated ringers
Stage 1 burn is called the ? phase
How long does it last? - answers✔✔Stage 1 - Emergent phase
Lasts 48 hours
What complications can occur in stage 1 phase of a burn? - answers✔✔Hypovolemic shock
Hyperkalemia
Olugruia (low urine output)
Stage 2 of burns is called the ? phase - answers✔✔Acute stage
Diuretic stage
Lasts 48-72 hours
What complications can occur in stage 2 of the burn phase? - answers✔✔Circulatory overload
Hypokalemia
Polyuria
*we are worried about chronic heart failure*
Stage 3 of burns is called the ? phase - answers✔✔Rehabilitation phase
Goal is to prevent infection and return the patient to a normal level of functioning
first degree burn has what characteristics? - answers✔✔Superficial Burn
Epidermis is affected
, warm to touch
red/pink with NO blisters
Second degree burns have what characteristics? - answers✔✔Partial thickness burn
Epidermis and Dermis are effected
Very painful; appears shiny and moist
Red/Pink with blisters
Third degree burns have what characteristics? - answers✔✔Full thickness burn
Epidermis, dermis and SubQ tissues are destroyed
Hair follicles, sweat glands and nerves are destroyed
Not painful die to nerve endings being burnt away
Skin will not heal without grafts
What are the 3 types of fire extinguishers? - answers✔✔Type A: Paper, wood, cloth
Type B: Flammable liquid fires (grease/oil fires)
Type C: Electrical Fires
RN delegating to LPN which would you be able to do within your scope of practice? -
answers✔✔insert Iv in 45 yr old rating pain 10/10 about to go to the cath lab
Nurse taking care of a male pt with burns over 50% of body pt has been in ER for 20 mins, the
nurse would take which action first? - answers✔✔Hang 10 ccs of lactated ringers
