NUR 2016: BURNS: TEST QUESTIONS WITH ACCURATE
SOLUTIONS
1) What is the Lund and Browder method? -- Answer ✔✔ precise method of
measuring extent of burned area in children (used in those under 12 because it is
more accurate for pediatric body proportions)
2) What are the phases of burn care? -- Answer ✔✔ Resuscitation, acute rehab, long
term rehab
3) When does the resuscitation phase begin? -- Answer ✔✔ At the time of burn
4) When does the resuscitation phase end/acute rehab phase begin? -- Answer ✔✔
With successful fluid resuscitation
5) How do you know a patient has been successfully fluid resuscitated? -- Answer ✔✔
When there is adequate urine output with only maintenance fluids
6) How long does the resuscitation phase last? -- Answer ✔✔ 48-72 hours
7) What are the cardiovascular effects of burns? -- Answer ✔✔ Burn shock, increased
SVR, decreased CO leading to shock/mods
, 8) What is burn shock? -- Answer ✔✔ the loss of fluid from the intravascular space due
to leaky capillaries and increased permeability. (Leads to third spacing/edema)
9) What are the pulmonary effects of burns? -- Answer ✔✔ Pulmonary edema due to
increased permeability/leaky capillaries, possible respiratory distress if there was an
inhalation injury.
10) Why might a burn patient have a change in mentation? -- Answer ✔✔ Because of
decreased cardiac output
11) What are psychological considerations for burn patients? -- Answer ✔✔ Possibly
losing job/home, lottttsss of pain, takes months to recover, really hard rehab, body
changes can have a very negative impact on pt
12) What are metabolic demands? -- Answer ✔✔ How much energy your body needs to
function. In burn pts, this manifests as intense hunger as the body needs all the
calories/proteins to regrow that skin.
13) What should be monitored with the kidneys for a burn patient? -- Answer ✔✔ Urine
output, creatinine, BUN
14) What are our nursing priorities for burn patients? -- Answer ✔✔ Airway, breathing,
circulation, pain, wound care
15) The nursing priorities for burn patients are airway, breathing, circulation, pain, and
wound care. In which of these steps would you do the rule of nines? -- Answer ✔✔
Circulation
16) True or false: Early intubation is encouraged in burn patients. -- Answer ✔✔ True
SOLUTIONS
1) What is the Lund and Browder method? -- Answer ✔✔ precise method of
measuring extent of burned area in children (used in those under 12 because it is
more accurate for pediatric body proportions)
2) What are the phases of burn care? -- Answer ✔✔ Resuscitation, acute rehab, long
term rehab
3) When does the resuscitation phase begin? -- Answer ✔✔ At the time of burn
4) When does the resuscitation phase end/acute rehab phase begin? -- Answer ✔✔
With successful fluid resuscitation
5) How do you know a patient has been successfully fluid resuscitated? -- Answer ✔✔
When there is adequate urine output with only maintenance fluids
6) How long does the resuscitation phase last? -- Answer ✔✔ 48-72 hours
7) What are the cardiovascular effects of burns? -- Answer ✔✔ Burn shock, increased
SVR, decreased CO leading to shock/mods
, 8) What is burn shock? -- Answer ✔✔ the loss of fluid from the intravascular space due
to leaky capillaries and increased permeability. (Leads to third spacing/edema)
9) What are the pulmonary effects of burns? -- Answer ✔✔ Pulmonary edema due to
increased permeability/leaky capillaries, possible respiratory distress if there was an
inhalation injury.
10) Why might a burn patient have a change in mentation? -- Answer ✔✔ Because of
decreased cardiac output
11) What are psychological considerations for burn patients? -- Answer ✔✔ Possibly
losing job/home, lottttsss of pain, takes months to recover, really hard rehab, body
changes can have a very negative impact on pt
12) What are metabolic demands? -- Answer ✔✔ How much energy your body needs to
function. In burn pts, this manifests as intense hunger as the body needs all the
calories/proteins to regrow that skin.
13) What should be monitored with the kidneys for a burn patient? -- Answer ✔✔ Urine
output, creatinine, BUN
14) What are our nursing priorities for burn patients? -- Answer ✔✔ Airway, breathing,
circulation, pain, wound care
15) The nursing priorities for burn patients are airway, breathing, circulation, pain, and
wound care. In which of these steps would you do the rule of nines? -- Answer ✔✔
Circulation
16) True or false: Early intubation is encouraged in burn patients. -- Answer ✔✔ True
