NU 272 Tissue Integrity Exam Questions
With Correct Answers
Following |a |serious |thermal |burn, |which |complication |will |the |nurse |take |action |to |prevent
|first?
Tissue |hypoxia
Infection
Renal |failure
Hypovolemia |- |CORRECT |ANSWER✔✔-Hypovolemia
After |a |burn, |fluid |from |the |body |moves |toward |the |burned |area, |which |leads |to |intravascular
|fluid |deficit. |Steps |must |be |taken |to |prevent |irreversible |hypovolemic |shock |in |the |initial
|stages |of |treatment. |The |inflammatory |processes |that |affect |the |tissues |cause |additional
|injury, |which |contributes |to |tissue |hypoxia. |Myoglobin |and |hemoglobin |that |were |destroyed
|during |the |burn |can |result |in |acute |renal |failure. |Destruction |of |the |skin |barrier |results |in
|colonization |of |bacteria |and |can |lead |to |life-threatening |infection |in |days |following |the |burn.
Which |type |of |debridement |involves |the |use |of |surgical |scissors, |scalpels, |and |forceps |to
|separate |and |remove |the |eschar?
Mechanical
Surgical
Natural
Chemical |- |CORRECT |ANSWER✔✔-Mechanical
Mechanical |debridement |involves |the |use |of |surgical |scissors, |scalpels, |and |forceps |to |separate
|and |remove |the |eschar. |Topical |enzymatic |debridement |agents |are |available |to |promote
, |debridement |of |the |burn |wounds. |With |natural |debridement, |the |dead |tissue |separates |from
|the |underlying |viable |tissue |spontaneously. |Surgical |debridement |is |an |operative |procedure
|involving |either |primary |excision |(surgical |removal |of |tissue) |of |the |full |thickness |of |the |skin
|down |to |the |fascia |(tangential |excision) |or |shaving |of |the |burned |skin |layers |gradually |down
|to |freely |bleeding, |viable |tissue.
During |the |late |stages |of |healing, |which |intervention |helps |a |burn |wound |to |heal |with |minimal
|scarring?
Removing |eschar |from |the |skin
Applying |continuous-compression |wraps
Wearing |clothing |to |protect |the |burn |from |the |sun
Maintaining |wound |care |irrigation |- |CORRECT |ANSWER✔✔-Applying |continuous-compression
|wraps
Applying |continuous-compression |wraps |helps |skin |healing |and |prevents |hypertrophied |tissue
|from |forming. |Removing |eschar |from |the |skin, |wearing |clothing |to |protect |the |burn |from |the
|sun, |and |maintaining |wound |care |irrigation |are |appropriate |for |the |client |with |a |burn |wound,
|but |these |interventions |don't |necessarily |help |minimize |scarring.
When |assessing |a |client |with |partial-thickness |burns |over |60% |of |the |body, |which |finding
|should |the |nurse |report |immediately?
Complaints |of |intense |thirst
Moderate |to |severe |pain
Urine |output |of |70 |ml |the |first |hour
Hoarseness |of |the |voice |- |CORRECT |ANSWER✔✔-Hoarseness |of |the |voice
With Correct Answers
Following |a |serious |thermal |burn, |which |complication |will |the |nurse |take |action |to |prevent
|first?
Tissue |hypoxia
Infection
Renal |failure
Hypovolemia |- |CORRECT |ANSWER✔✔-Hypovolemia
After |a |burn, |fluid |from |the |body |moves |toward |the |burned |area, |which |leads |to |intravascular
|fluid |deficit. |Steps |must |be |taken |to |prevent |irreversible |hypovolemic |shock |in |the |initial
|stages |of |treatment. |The |inflammatory |processes |that |affect |the |tissues |cause |additional
|injury, |which |contributes |to |tissue |hypoxia. |Myoglobin |and |hemoglobin |that |were |destroyed
|during |the |burn |can |result |in |acute |renal |failure. |Destruction |of |the |skin |barrier |results |in
|colonization |of |bacteria |and |can |lead |to |life-threatening |infection |in |days |following |the |burn.
Which |type |of |debridement |involves |the |use |of |surgical |scissors, |scalpels, |and |forceps |to
|separate |and |remove |the |eschar?
Mechanical
Surgical
Natural
Chemical |- |CORRECT |ANSWER✔✔-Mechanical
Mechanical |debridement |involves |the |use |of |surgical |scissors, |scalpels, |and |forceps |to |separate
|and |remove |the |eschar. |Topical |enzymatic |debridement |agents |are |available |to |promote
, |debridement |of |the |burn |wounds. |With |natural |debridement, |the |dead |tissue |separates |from
|the |underlying |viable |tissue |spontaneously. |Surgical |debridement |is |an |operative |procedure
|involving |either |primary |excision |(surgical |removal |of |tissue) |of |the |full |thickness |of |the |skin
|down |to |the |fascia |(tangential |excision) |or |shaving |of |the |burned |skin |layers |gradually |down
|to |freely |bleeding, |viable |tissue.
During |the |late |stages |of |healing, |which |intervention |helps |a |burn |wound |to |heal |with |minimal
|scarring?
Removing |eschar |from |the |skin
Applying |continuous-compression |wraps
Wearing |clothing |to |protect |the |burn |from |the |sun
Maintaining |wound |care |irrigation |- |CORRECT |ANSWER✔✔-Applying |continuous-compression
|wraps
Applying |continuous-compression |wraps |helps |skin |healing |and |prevents |hypertrophied |tissue
|from |forming. |Removing |eschar |from |the |skin, |wearing |clothing |to |protect |the |burn |from |the
|sun, |and |maintaining |wound |care |irrigation |are |appropriate |for |the |client |with |a |burn |wound,
|but |these |interventions |don't |necessarily |help |minimize |scarring.
When |assessing |a |client |with |partial-thickness |burns |over |60% |of |the |body, |which |finding
|should |the |nurse |report |immediately?
Complaints |of |intense |thirst
Moderate |to |severe |pain
Urine |output |of |70 |ml |the |first |hour
Hoarseness |of |the |voice |- |CORRECT |ANSWER✔✔-Hoarseness |of |the |voice
