NURS185 Exam 2 – Accurate Answers To All
Questions
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Terms in this set (69)
Stage 1 burn is called the ? phase Stage 1 - Emergent phase
How long does it last? Lasts 48 hours
What complications can occur in Hypovolemic shock
stage 1 phase of a burn? Hyperkalemia
Olugruia (low urine output)
Stage 2 of burns is called the ? phase Acute stage
Diuretic stage
Lasts 48-72 hours
What complications can occur in Circulatory overload
stage 2 of the burn phase? Hypokalemia
Polyuria
we are worried about chronic heart failure
Stage 3 of burns is called the ? phase Rehabilitation phase
Goal is to prevent infection and return the patient to
a normal level of functioning
first degree burn has what Superficial Burn
characteristics? Epidermis is affected
warm to touch
red/pink with NO blisters
Second degree burns have what Partial thickness burn
characteristics? Epidermis and Dermis are effected
Very painful; appears shiny and moist
Red/Pink with blisters
, Third degree burns have what Full thickness burn
characteristics? Epidermis, dermis and SubQ tissues are destroyed
Hair follicles, sweat glands and nerves are destroyed
Not painful die to nerve endings being burnt away
Skin will not heal without grafts
What are the 3 types of fire Type A: Paper, wood, cloth
extinguishers?
Type B: Flammable liquid fires (grease/oil fires)
Type C: Electrical Fires
RN delegating to LPN which would insert Iv in 45 yr old rating pain 10/10 about to go to
you be able to do within your scope the cath lab
of practice?
Nurse taking care of a male pt with Hang 10 ccs of lactated ringers
burns over 50% of body pt has been
in ER for 20 mins, the nurse would take
which action first?
Pt is a 25 year old admitted to ER, O2 Naloxone (narcan)
stat of 89 and resp of 8 unresponsive
to stimuli nurse anticipates which
administration of which medication?
During a code blue epinephrine is Sharps container/biohazard
administered IV push vital open and
dose given.
after using the med where should the
nurse place the vial?
Which pt requires a tetanus injection? The patient who has 10% burns and cannot recall if
they have had a tetanus shot in the past 10 years
Pt with a burn receiving treatments of It is normal to experience local discomfort and
topical mafenide (sulfamylon) what burning after application of this medication
kind of teaching would you do
regarding this med?
Questions
Save
Terms in this set (69)
Stage 1 burn is called the ? phase Stage 1 - Emergent phase
How long does it last? Lasts 48 hours
What complications can occur in Hypovolemic shock
stage 1 phase of a burn? Hyperkalemia
Olugruia (low urine output)
Stage 2 of burns is called the ? phase Acute stage
Diuretic stage
Lasts 48-72 hours
What complications can occur in Circulatory overload
stage 2 of the burn phase? Hypokalemia
Polyuria
we are worried about chronic heart failure
Stage 3 of burns is called the ? phase Rehabilitation phase
Goal is to prevent infection and return the patient to
a normal level of functioning
first degree burn has what Superficial Burn
characteristics? Epidermis is affected
warm to touch
red/pink with NO blisters
Second degree burns have what Partial thickness burn
characteristics? Epidermis and Dermis are effected
Very painful; appears shiny and moist
Red/Pink with blisters
, Third degree burns have what Full thickness burn
characteristics? Epidermis, dermis and SubQ tissues are destroyed
Hair follicles, sweat glands and nerves are destroyed
Not painful die to nerve endings being burnt away
Skin will not heal without grafts
What are the 3 types of fire Type A: Paper, wood, cloth
extinguishers?
Type B: Flammable liquid fires (grease/oil fires)
Type C: Electrical Fires
RN delegating to LPN which would insert Iv in 45 yr old rating pain 10/10 about to go to
you be able to do within your scope the cath lab
of practice?
Nurse taking care of a male pt with Hang 10 ccs of lactated ringers
burns over 50% of body pt has been
in ER for 20 mins, the nurse would take
which action first?
Pt is a 25 year old admitted to ER, O2 Naloxone (narcan)
stat of 89 and resp of 8 unresponsive
to stimuli nurse anticipates which
administration of which medication?
During a code blue epinephrine is Sharps container/biohazard
administered IV push vital open and
dose given.
after using the med where should the
nurse place the vial?
Which pt requires a tetanus injection? The patient who has 10% burns and cannot recall if
they have had a tetanus shot in the past 10 years
Pt with a burn receiving treatments of It is normal to experience local discomfort and
topical mafenide (sulfamylon) what burning after application of this medication
kind of teaching would you do
regarding this med?
