NURS 6675 WEEK 11 FINAL EXAM 2026
VERIFIED QUESTIONS AND DETAILED
SOLUTIONS
◉ Thermal burn. Answer: Caused by exposure or contact w/ flame,
hot liquids, semi-liquids, semi-solids, or hot objects
Different types:
• Heat/cold
• Chemical
• Electrical
• Radiation
• Exfoliation skin syndromes
◉ Heat/cold burns. Answer: Caused by flames, scalding, contact w/
hot substances, cigarettes, road tattoo
Most common cause of a burn in children
◉ What is dangerous thing about electrical burns?. Answer: They
affect the heart and will stop it almost instantaneously
,◉ Staph scalded skin syndrome (SSSS). Answer: 77-94% are drug-
induced (sulfonamides, anticonvulsants, NSAIDS, analgesics)
S&S (2-4 days before sloughing of skin)
---> Malaise
---> Sore throat
---> Fever
---> Rhinitis
---> Anorexia
---> Coughing
---> Skin lesions (pruritus, erythema, blisters)
Epidermis separates from dermis w/ mild pressure
---> +Niklolsky's (Bright red partial thickness wound)
---> Esophagitis
---> Inflamed genitalia
◉ High voltage burns --> what will a nurse see?. Answer: Flash
flame: Causes clothes to burn & a deep skin burn
Tissue injury is greatest at contact points & where current arcs
,Will see: Hypoventilation, CNS dysfunction
(?? Long bone fracture & cataract formation ??)
◉ Low voltage burns --> What will a nurse see?. Answer: Seen more
w/ children (sucking on electrical cord)
Edema, cardiac dysrhythmias, v. fib
◉ What S&S might you see which would make you suspect an
inhalation burn?. Answer: Voice change (hoarseness)
Color change
Difficulty breathing
Hypoxia
Brassy cough
Stridor/wheeze
*Priority = airway management*
◉ Why are severe burns critical?. Answer: The patient loses:
• Protective barrier against infections
• Body fluids
, • Temperature control
• Sweat & sebaceous glands
• Number of sensory receptors
◉ 2 phases of burns. Answer: Hypovolemic
Diuretic
◉ What is the thing healthcare providers are must concerned about
w/ burn patients?. Answer: BSA of burn & how quickly we can get
fluids in them (fluid resuscitation)
◉ Hypovolemic stage of burns. Answer: Begins at time of burn
through 48-72 hrs after
---> *First 24 hr is critical for fluid resuscitation*
There is a rapid shift of fluid from the vascular compartment to the
interstitial so the person will look edematous
Vasodilation w/ inc capillary permeability occurs around burn site
---> *Pt will feel warm to the touch*
THE GREATER THE % OF THE INJURY, THE GREATER THE FLUID
LOSS
VERIFIED QUESTIONS AND DETAILED
SOLUTIONS
◉ Thermal burn. Answer: Caused by exposure or contact w/ flame,
hot liquids, semi-liquids, semi-solids, or hot objects
Different types:
• Heat/cold
• Chemical
• Electrical
• Radiation
• Exfoliation skin syndromes
◉ Heat/cold burns. Answer: Caused by flames, scalding, contact w/
hot substances, cigarettes, road tattoo
Most common cause of a burn in children
◉ What is dangerous thing about electrical burns?. Answer: They
affect the heart and will stop it almost instantaneously
,◉ Staph scalded skin syndrome (SSSS). Answer: 77-94% are drug-
induced (sulfonamides, anticonvulsants, NSAIDS, analgesics)
S&S (2-4 days before sloughing of skin)
---> Malaise
---> Sore throat
---> Fever
---> Rhinitis
---> Anorexia
---> Coughing
---> Skin lesions (pruritus, erythema, blisters)
Epidermis separates from dermis w/ mild pressure
---> +Niklolsky's (Bright red partial thickness wound)
---> Esophagitis
---> Inflamed genitalia
◉ High voltage burns --> what will a nurse see?. Answer: Flash
flame: Causes clothes to burn & a deep skin burn
Tissue injury is greatest at contact points & where current arcs
,Will see: Hypoventilation, CNS dysfunction
(?? Long bone fracture & cataract formation ??)
◉ Low voltage burns --> What will a nurse see?. Answer: Seen more
w/ children (sucking on electrical cord)
Edema, cardiac dysrhythmias, v. fib
◉ What S&S might you see which would make you suspect an
inhalation burn?. Answer: Voice change (hoarseness)
Color change
Difficulty breathing
Hypoxia
Brassy cough
Stridor/wheeze
*Priority = airway management*
◉ Why are severe burns critical?. Answer: The patient loses:
• Protective barrier against infections
• Body fluids
, • Temperature control
• Sweat & sebaceous glands
• Number of sensory receptors
◉ 2 phases of burns. Answer: Hypovolemic
Diuretic
◉ What is the thing healthcare providers are must concerned about
w/ burn patients?. Answer: BSA of burn & how quickly we can get
fluids in them (fluid resuscitation)
◉ Hypovolemic stage of burns. Answer: Begins at time of burn
through 48-72 hrs after
---> *First 24 hr is critical for fluid resuscitation*
There is a rapid shift of fluid from the vascular compartment to the
interstitial so the person will look edematous
Vasodilation w/ inc capillary permeability occurs around burn site
---> *Pt will feel warm to the touch*
THE GREATER THE % OF THE INJURY, THE GREATER THE FLUID
LOSS
