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NUR 265 EXAM 3 - GALEN COLLEGE OF
NURSING UPDATED EXAM WITH VERIFIED
SOLUTIONS.
What is surg management for burns? - correct answer -grafts
With burns, bowel sounds? - correct answer -being absent is
normal
inhalation interventions? - correct answer -elevate hob
give o2
s/s of wound infection? - correct answer -pervasive odor
focal, dark red, bbrown discoloration in the eschar
redness @ the wound edges extending to non-burned skin
burn diet? - correct answer -high calorie, high protein
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Superficial burn? - correct answer -a burn that involves only the
epidermis, the outer layer of the skin. It is characterized by
reddening of the skin and perhaps some swelling. An example is
a sunburn. Also called a first-degree burn.
heals in 3-6 days
superficial partial thickness burn? - correct answer -Involves the
epidermis and the upper portion of the dermis. Involved area may
be extremely painful and exhibit blisters. Healing occurs with
minimal to no scarring in 2wks
pink to red, blanch
mild to moderate edema
deep partial thickness burn? - correct answer -red to white, dry
deeper into dermis, fewer healthy cells remain
moderate edema, less pain
deeper injury can occur b/c decrease flow to the area (hypoxia,
ischemia)
eschar (soft and dry)
grafts can be used
heals in 2-6wks w/ scar
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full thickness burn? - correct answer -entire epider/derm
black, brown, yellow, white, red (waxy)
severe edema
requires graft
hard, dry, leathery eschar
escharotomy/fasciotomy
decreased or no sensation
heals in weeks to months
deep full thickness burns? - correct answer -beyond skin-muscle,
bone, tendon
blackened & depressed
no sensation
early grafting and excision
possible amputation
no edema
heals in weeks to months
urine op with burns should return to normal? - correct answer -in
48-72hrs
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priority n/i for pts with burns >50% of body? - correct answer -
secure airway
initiate iv fluids
analgesics
prevent infection
maintain temp
emotional support
What is encephalitis? - correct answer -inflammation or infection
of the brain
What causes encephalitis? - correct answer -West Nile Virus
Herpes
What are the s/s of encephalitis? - correct answer -High fever,
N/V, stiff neck
Flu like symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)
NUR 265 EXAM 3 - GALEN COLLEGE OF
NURSING UPDATED EXAM WITH VERIFIED
SOLUTIONS.
What is surg management for burns? - correct answer -grafts
With burns, bowel sounds? - correct answer -being absent is
normal
inhalation interventions? - correct answer -elevate hob
give o2
s/s of wound infection? - correct answer -pervasive odor
focal, dark red, bbrown discoloration in the eschar
redness @ the wound edges extending to non-burned skin
burn diet? - correct answer -high calorie, high protein
, Page | 2
Superficial burn? - correct answer -a burn that involves only the
epidermis, the outer layer of the skin. It is characterized by
reddening of the skin and perhaps some swelling. An example is
a sunburn. Also called a first-degree burn.
heals in 3-6 days
superficial partial thickness burn? - correct answer -Involves the
epidermis and the upper portion of the dermis. Involved area may
be extremely painful and exhibit blisters. Healing occurs with
minimal to no scarring in 2wks
pink to red, blanch
mild to moderate edema
deep partial thickness burn? - correct answer -red to white, dry
deeper into dermis, fewer healthy cells remain
moderate edema, less pain
deeper injury can occur b/c decrease flow to the area (hypoxia,
ischemia)
eschar (soft and dry)
grafts can be used
heals in 2-6wks w/ scar
, Page | 3
full thickness burn? - correct answer -entire epider/derm
black, brown, yellow, white, red (waxy)
severe edema
requires graft
hard, dry, leathery eschar
escharotomy/fasciotomy
decreased or no sensation
heals in weeks to months
deep full thickness burns? - correct answer -beyond skin-muscle,
bone, tendon
blackened & depressed
no sensation
early grafting and excision
possible amputation
no edema
heals in weeks to months
urine op with burns should return to normal? - correct answer -in
48-72hrs
, Page | 4
priority n/i for pts with burns >50% of body? - correct answer -
secure airway
initiate iv fluids
analgesics
prevent infection
maintain temp
emotional support
What is encephalitis? - correct answer -inflammation or infection
of the brain
What causes encephalitis? - correct answer -West Nile Virus
Herpes
What are the s/s of encephalitis? - correct answer -High fever,
N/V, stiff neck
Flu like symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)
