NSG 233 Exam 4 Review – Questions & Correct
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Terms in this set (89)
What are priority interventions for a -Airway, Breathing, Circulation
patient in the Emergent/ Resuscitative -Fluid Resuscitation
phase of a burn? -Pain management
-Maintain Body Temp
-psychological support
Time frame of Emergent/ resuscitative 24-48 hours
stage in Burns?
Preferred fluids for burn resuscitation? LR or NS
When does the rehabilitative phase Once optimal living conditions are obtained (might
end? not be completely back to original state but should
be optimal)
Who is most likely to experience a Young Males
burn injury?
What would Hematuria indicate in an Rhabdomyolysis and possible AKI
Electrical Burn patient?
Who is most likely to experience a The Elderly
SEVERE BURN?
What degree burn would be 2nd Degree/ Partial thickness (superficial)
described as blistering?
, What type of treatment would the Amputation (grafting is not helpful when this much
nurse anticipate for a patient with a damage has occurred)
4th Degree / full thickness burn?
What is the most common electrolyte Hyperkalemia (this is why burn victims are placed on
imbalance associated with Burns? telemetry usually)
What are some signs and Symptoms -Singed facial/ neck hair
of inhalation burns? -Trouble talking
-Soot in the sputum/mouth/throat
-Confusion/anxiety
-Elevated carboxyhemoglobin levels
-Cherry Red skin (a sign of carbon monoxide
poisoning)
Process of interventions for 2nd and 1. Assess airway
3rd-degree burns 2. Insert IV
3. Estimate TBSA
4. Begin fluid resuscitation
5. Assess for secondary injuries
What is the clinical manifestation of a -absence of pain
full thickness burn? -waxy white skin
-no blanching with pressure
What type of test is used to determine carboxy hemoglobin
carbon monoxide poisoning? What 100 percent SPO2 but it is incorrect
does the pulse ox typically read?
Why would X-rays of extremities be Long bone fractures are common with electrical
ordered for a patient with electrical burns (think lineman may have fallen or electrical
burns? current could have fractured the bone)
What type of pain control would the IV Opioids no IM or PO
nurse expect in a patient with severe IM would not absorb and PO would take too long
burns?
Should the nurse administer No (ABX is only used situationally an example of this
prophylactic ABX? would be post grafting)
Answers
Save Groups
Terms in this set (89)
What are priority interventions for a -Airway, Breathing, Circulation
patient in the Emergent/ Resuscitative -Fluid Resuscitation
phase of a burn? -Pain management
-Maintain Body Temp
-psychological support
Time frame of Emergent/ resuscitative 24-48 hours
stage in Burns?
Preferred fluids for burn resuscitation? LR or NS
When does the rehabilitative phase Once optimal living conditions are obtained (might
end? not be completely back to original state but should
be optimal)
Who is most likely to experience a Young Males
burn injury?
What would Hematuria indicate in an Rhabdomyolysis and possible AKI
Electrical Burn patient?
Who is most likely to experience a The Elderly
SEVERE BURN?
What degree burn would be 2nd Degree/ Partial thickness (superficial)
described as blistering?
, What type of treatment would the Amputation (grafting is not helpful when this much
nurse anticipate for a patient with a damage has occurred)
4th Degree / full thickness burn?
What is the most common electrolyte Hyperkalemia (this is why burn victims are placed on
imbalance associated with Burns? telemetry usually)
What are some signs and Symptoms -Singed facial/ neck hair
of inhalation burns? -Trouble talking
-Soot in the sputum/mouth/throat
-Confusion/anxiety
-Elevated carboxyhemoglobin levels
-Cherry Red skin (a sign of carbon monoxide
poisoning)
Process of interventions for 2nd and 1. Assess airway
3rd-degree burns 2. Insert IV
3. Estimate TBSA
4. Begin fluid resuscitation
5. Assess for secondary injuries
What is the clinical manifestation of a -absence of pain
full thickness burn? -waxy white skin
-no blanching with pressure
What type of test is used to determine carboxy hemoglobin
carbon monoxide poisoning? What 100 percent SPO2 but it is incorrect
does the pulse ox typically read?
Why would X-rays of extremities be Long bone fractures are common with electrical
ordered for a patient with electrical burns (think lineman may have fallen or electrical
burns? current could have fractured the bone)
What type of pain control would the IV Opioids no IM or PO
nurse expect in a patient with severe IM would not absorb and PO would take too long
burns?
Should the nurse administer No (ABX is only used situationally an example of this
prophylactic ABX? would be post grafting)
