Ch. 42 Burns
A nursing student is learning about types of burns. Which type should he remember is the most common burn type?
thermal
Severe burns can alter normal physiologic organ function if the thermal injury is greater than what percentage of the total body surface area (TBSA)?
30%
A paramedic arrives on an accident scene and quickly assesses that the total body surface area damaged by burn is 27% for the patient. Which criteria did the paramedic most likely use to arrive at this conclusion?
rule of nines
A nurse is treating a burn wound on a patient. She notes that the outer area of the burn is red in color. Which of the following is true about this area of the wound?
the are is referred to as the zone of hyperemia
A nurse suspects myoglobinuria in a patient with a severe burn injury. Which sign or symptom may he look for if myoglobinuria has developed?
Dark-brown urine
A nurse is speaking to a patient about debridement of a burn wound. Which of the following is correct to state to the patient?
Debridement improves blood flow to the area of injury
A patient has suffered a superficial partial-thickness burn on his leg. Which tissue layers have been burned? Select all that apply.
Epidermis Papillary
Which of the following systemic changes may a clinician encounter in a burn patient?
increased basal metabolic rate (BMR)
A nurse is caring for a patient who has suffered a thermal burn and is now receiving hospitalized care. Which of the following post-burn complications may the nurse expect? Select all that apply.
Inhalation injury Respiratory distress Decreased kidney perfusion
A nurse is treating a patient with a radiation injury. What does the "rems" for the injury refer to?
biological risk of the exposure
A patient suffered an electrical burn. Which tissues are most likely to be damaged?
nerves and muscle
A patient has suffered a severe scalding burn around the knee area. Upon healing, the wound edges appear to be pulling inwards, decreasing joint mobility. Which of the following is the most likely explanation for what is happening?
contracture
When may a clinician be most concerned about carbon monoxide (CO) poisoning in a burn victim?
patient experiencing burning within an enclosed space
Following a severe burn, a patient is in the emergent phase. Which of the following is a primary concern for a patient in this phase?
prevent shock
A nurse is asked to record the size of the zone of coagulation for a burn victim. Which of the following is appropriate?
the nurse measures the diameters of the most severely burned area
