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CHAPTER 11: SECOND-DEGREE BURNS

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1. The process of burn shock continues until which physiological mechanism occurs? 2. To assess the child with severe burns for adequate perfusion, the nurse monitors which area? 3. Which medication would be best for the nurse to administer before a dressing change for the severely burned child?

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Pediatric Nursing – A Case-Based Approach
Course
Pediatric Nursing – A Case-Based Approach

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C HAPTER 11: S ECOND -D EGREE B URNS

1. The process of burn shock continues until which physiological mechanism
occurs?
a. Heart rate returns to normal.
b. Airway swelling decreases.
c. Body temperature regulation returns to normal.
d. Capillaries regain their seal.



ANS: D



Within minutes of the burn injury, the capillary seals are lost with a massive
fluid leakage into the surrounding tissue, resulting in burn shock. The process
of burn shock continues for approximately 24 to 48 hours, when capillary
seals are restored. The heart rate will be increased throughout the healing
process because of increased metabolism. Airway swelling subsides over a
period of 2 to 5 days after injury. Body temperature regulation will not be
normal until healing is well under way.



2. To assess the child with severe burns for adequate perfusion, the nurse monitors
which area?
a. Distal pulses
b. Skin turgor
c. Urine output
d. Mucous membranes



ANS: C

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Pediatric Nursing – A Case-Based Approach
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Pediatric Nursing – A Case-Based Approach

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