NURS 4331 Exam (Peds - Roye) Questions
with Right Answers
What is the most important assessment concerning burns? - ✅✅ Airway
When burns cover _____ of body surface area, there is a greater risk for shock. -
✅✅
>30% BSA
Define the following burn types: - ✅✅ superficial- 1st layer, only redness
Superficial partial-thickness- Blisters
Deep partial-thickness- broken blisters
Full-thickness- dry, lack of sensation, black/waxy white color
What is the healing time associated with burns? - ✅✅
Superficial- 1 week
Superficial partial-thickness- 2 weeks
Deep partial-thickness- 3 weeks
Full-thickness- 3 weeks
Define three different types of grafts - ✅✅
Allograft: cadaver skin (graft of choice)
Xenograft: other species (usually pig)
Bioengineered
,What type of fluids should be infused for burn patients and what is the formula to
calculate rate? - ✅✅
Give LR
Formula: 4ml x %BSA x kg = total in 24hrs
Give HALF in first 8 hours, give second half in remaining 16 hours
What is an appropriate urine output per hour for burn patients? - ✅✅
2 ml/kg/hr
*higher than normal (1ml/kg/hr)
How should an insect stinger be removed? - ✅✅ always scrape
Never squeeze (releases more venom)
What home remedies can be used to promote comfort for insect stings/bites? -
✅✅
Baking soda paste
Meat tenderizer
What type of animal bite will a tetanus shot likely be needed? - ✅✅ dog bite
What is mupirocin prescribed for? - ✅✅ topical abx for s.aureus like impetigo
What is cephalexin prescribed for? - ✅✅ oral abx for cellulitis
, What is permethrin prescribed for and how is it used? - ✅✅ antiparasitic for
lice/scabies
Lice: wet hair and leave for 10min, need 2 treatments
Scabies: apply for 8-12hrs, treat whole family
What do the following immunoglobulins defend?
Iga
Ige
Igg
Igm
- ✅✅
A: mucosal/GI/GU antigen invasion
E: 1st line of defense, parasites, allergic rxns
G: viruses, bacteria, fungi
M: mediates cytotoxic response in blood, lymph, spleen
Discuss active vs passive immunity
How long does passive last? - ✅✅
Active: from disease process
Passive: igg from mom, last ~6-9months after birth
The adolescent age group begins at what age?- ✅✅ age 12
During a physical assessment of an adolescent, what is important to remember
regarding parents?- ✅✅ - provide child privacy
- Do assessment alone with kid if parent (and patient) gives permission
with Right Answers
What is the most important assessment concerning burns? - ✅✅ Airway
When burns cover _____ of body surface area, there is a greater risk for shock. -
✅✅
>30% BSA
Define the following burn types: - ✅✅ superficial- 1st layer, only redness
Superficial partial-thickness- Blisters
Deep partial-thickness- broken blisters
Full-thickness- dry, lack of sensation, black/waxy white color
What is the healing time associated with burns? - ✅✅
Superficial- 1 week
Superficial partial-thickness- 2 weeks
Deep partial-thickness- 3 weeks
Full-thickness- 3 weeks
Define three different types of grafts - ✅✅
Allograft: cadaver skin (graft of choice)
Xenograft: other species (usually pig)
Bioengineered
,What type of fluids should be infused for burn patients and what is the formula to
calculate rate? - ✅✅
Give LR
Formula: 4ml x %BSA x kg = total in 24hrs
Give HALF in first 8 hours, give second half in remaining 16 hours
What is an appropriate urine output per hour for burn patients? - ✅✅
2 ml/kg/hr
*higher than normal (1ml/kg/hr)
How should an insect stinger be removed? - ✅✅ always scrape
Never squeeze (releases more venom)
What home remedies can be used to promote comfort for insect stings/bites? -
✅✅
Baking soda paste
Meat tenderizer
What type of animal bite will a tetanus shot likely be needed? - ✅✅ dog bite
What is mupirocin prescribed for? - ✅✅ topical abx for s.aureus like impetigo
What is cephalexin prescribed for? - ✅✅ oral abx for cellulitis
, What is permethrin prescribed for and how is it used? - ✅✅ antiparasitic for
lice/scabies
Lice: wet hair and leave for 10min, need 2 treatments
Scabies: apply for 8-12hrs, treat whole family
What do the following immunoglobulins defend?
Iga
Ige
Igg
Igm
- ✅✅
A: mucosal/GI/GU antigen invasion
E: 1st line of defense, parasites, allergic rxns
G: viruses, bacteria, fungi
M: mediates cytotoxic response in blood, lymph, spleen
Discuss active vs passive immunity
How long does passive last? - ✅✅
Active: from disease process
Passive: igg from mom, last ~6-9months after birth
The adolescent age group begins at what age?- ✅✅ age 12
During a physical assessment of an adolescent, what is important to remember
regarding parents?- ✅✅ - provide child privacy
- Do assessment alone with kid if parent (and patient) gives permission
