NURS 3150 WEEK 3 FINAL PAPER 2026
COMPLETE QUESTIONS SOLUTIONS GRADED
A+
◉ deep partial thickness. Answer: grease
-shiny
-Dead tissue layer is thick so usually no blisters form, red & dry with
white areas in deeper parts, blanches slowly or not at all, mod
edema, less pain r/t nerve endings destroyed; progressive injury
possible r/t hypoxia and ischemia, infection too, 2-6 weeks healing
time with scar, surgery with grafting may decrease healing time
-Risk for compartment syndrome
◉ full thickness burn. Answer: -tissue cannot regrow
-skin grafts
-limited sensation
-lots of pain
-eschar forms
Characteristics: Destruction of entire epidermis and dermis
Waxy white, deep red, yellow, brown, or black
◉ Deep thickness burn. Answer: Bones and muscles involved
,-likely results in amputation
Black, depressed
-Skin, muscle, bone, and tendons involved,
. absent of sensation
needs early excision and grafting [decreases pain and los and
speedsrecovery
amputation considered when extremity is involved
◉ Vascular changes with burns. Answer: fluid shifts
electrolyte imbalance and metabolic acidosis
◉ Interventions for vascular changes w/ a burn. Answer: have pt on
a heart monitor; fluid remobilization after 24 hour, diuretic stage
begins 48 to 72 hour after injury, hyponatremia, and hypokalemia,
anemia; need a foley to measure strict I&Os
◉ Cardiac changes w/ a burn. Answer: - hypovolemic- decreased
cardiac output
-HR increases, CO decreases, BP increases
-watch potassium levels
◉ hypovolemic shock. Answer: common cause of death in early
phase in patients with serious burn injuries
, ◉ Electrical Burns. Answer: high risk of cardiac changes; V Fib is
often cause of death for pts with eletrical burns
◉ Burn patient interventions. Answer: PRIORITY IS ALWAYS
AIRWAY
◉ Pulmonary changes w/ burn pts. Answer: occur even when lung
tissues have not been damaged directly; may see stridor, fluid in
lungs
-Major cause of death and most likely to occur when burn takes
place in doors
-Assess continuously!!
-Development of a brassy cough, drooling, audible wheeze***
◉ GI changes w/ burns. Answer: -Risk for GI bleed, Curling's Ulcer,
paralytic ileus
◉ If TBSA is >25. Answer: -will be on a vent and NG tube
◉ Metabolic changes w/ burns. Answer: increased temp- due to
losing protectiveness of skin, temp is going out with fluid shift
Nutritional needs**- big part of recovery; increase calorie intake;
protein
COMPLETE QUESTIONS SOLUTIONS GRADED
A+
◉ deep partial thickness. Answer: grease
-shiny
-Dead tissue layer is thick so usually no blisters form, red & dry with
white areas in deeper parts, blanches slowly or not at all, mod
edema, less pain r/t nerve endings destroyed; progressive injury
possible r/t hypoxia and ischemia, infection too, 2-6 weeks healing
time with scar, surgery with grafting may decrease healing time
-Risk for compartment syndrome
◉ full thickness burn. Answer: -tissue cannot regrow
-skin grafts
-limited sensation
-lots of pain
-eschar forms
Characteristics: Destruction of entire epidermis and dermis
Waxy white, deep red, yellow, brown, or black
◉ Deep thickness burn. Answer: Bones and muscles involved
,-likely results in amputation
Black, depressed
-Skin, muscle, bone, and tendons involved,
. absent of sensation
needs early excision and grafting [decreases pain and los and
speedsrecovery
amputation considered when extremity is involved
◉ Vascular changes with burns. Answer: fluid shifts
electrolyte imbalance and metabolic acidosis
◉ Interventions for vascular changes w/ a burn. Answer: have pt on
a heart monitor; fluid remobilization after 24 hour, diuretic stage
begins 48 to 72 hour after injury, hyponatremia, and hypokalemia,
anemia; need a foley to measure strict I&Os
◉ Cardiac changes w/ a burn. Answer: - hypovolemic- decreased
cardiac output
-HR increases, CO decreases, BP increases
-watch potassium levels
◉ hypovolemic shock. Answer: common cause of death in early
phase in patients with serious burn injuries
, ◉ Electrical Burns. Answer: high risk of cardiac changes; V Fib is
often cause of death for pts with eletrical burns
◉ Burn patient interventions. Answer: PRIORITY IS ALWAYS
AIRWAY
◉ Pulmonary changes w/ burn pts. Answer: occur even when lung
tissues have not been damaged directly; may see stridor, fluid in
lungs
-Major cause of death and most likely to occur when burn takes
place in doors
-Assess continuously!!
-Development of a brassy cough, drooling, audible wheeze***
◉ GI changes w/ burns. Answer: -Risk for GI bleed, Curling's Ulcer,
paralytic ileus
◉ If TBSA is >25. Answer: -will be on a vent and NG tube
◉ Metabolic changes w/ burns. Answer: increased temp- due to
losing protectiveness of skin, temp is going out with fluid shift
Nutritional needs**- big part of recovery; increase calorie intake;
protein
