NUR 265 EXAM 3 MEDICAL SURGICAL NURSING GALEN COLLEGE
LATEST 2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
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What are the 5 noxious stimuli - ANSWER-peripheral, sternal rub,
mandible, supraorbital pressure, trapezius squeeze,
Lab findings for burns - ANSWER-H&H increase - R/T low IVfluids
increase SG, decrease NA, increase BUN, increase K and Ph
how long is the resuscitative phase of burns - ANSWER-24-48
hours - this phase ends when fluid restoration is complete
Manifestation of decreased CO - ANSWER-decrease UO,
Tachycardia, decrease peripheral pulses, hypotension
In burns, decrease CO occurs - ANSWER-the first 24 hours
Manifestation of upper airway burns - ANSWER-erythematous
and edematous appearance, mucosal blistering
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In burns, when does upper airway(burn) obstruction occur -
ANSWER-24-48 hours
manifestations of upper airway obstruction - ANSWER-stridor,
dyspnea, increase workload of breathing, cyanosis
what is an indicator of smoke inhalation in a burn victim -
ANSWER-smoke around face, mouth nares, singed nose hair,
smoke inhalation can lead to - ANSWER-tracheobronchitis
Manifestation of tracheobronchitis - ANSWER-bronchospasms,
increase workload of breathing
How do you DX CO poisoning - ANSWER-measure cohb levels
Within 18-36 hours post burn what is restored - ANSWER-
capillary integrity, H&H decreases because fluids are returning to
IVS, diuresis is happening
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why d the H&H increase the first 24 hours post burn - ANSWER-
Hemoconcentration
Manifestations of hypothermia - ANSWER-shivering(harmful too
much O2 consumption) body temp below 98.6,
Characteristics for 4th degree burns - ANSWER-dermis epidermis
and Sub Q is destroyed reaching muscles and bones
What is common surgical procedures in 3 and 4th degree burns -
ANSWER-amputations
Characteristics od 3rd degree - ANSWER-damage to the dermis
and epidermis reaching to the sub Q Dry mottled colors black,
red, white, brown, painless, pressure (can cause contractures)
hypertrophic scarring
Characteristic of 2end degree - ANSWER-wet blisters red in color
affects the dermis and epidermis AKA partical thickness burn
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what is the healing time of second degree burns - ANSWER-21-
28 days
Characteristics of 1st degree - ANSWER-red, painful heals quick
superficial
smoke inhalation - ANSWER-decreases cilliary action, destroys
alveoli surfactant, the slothing of epithelium
smoke inhalation can lead to - ANSWER-ARDS, ARF,
tracheobronchitis
In burns, what is the problems with fluids shifting - ANSWER-
decrease organ perfusion, can restrict airway
in burns what is the outcome of fluids shifts if not treated -
ANSWER-MODS, ARF, paralytic ileus, erosion of the stomach,
How do you treat fluid shifting - ANSWER-IV lactated ringers