Here are some key focus areas for Exam 2 which covers Modules 3, 4, & 5. Review course modules for information. You are responsible for all content in the chapters, power points, lecture notes, tables, red flags, figures, boxes, with special focus points on the following topics:
Module 3 Tissue In...
module 3 tissue integrity • relate principles of triage to prioritize care delivery in a disaster situation • appraise the roles of the nurse in emergency preparedness and response • prioritize n
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NURSING 2020 MODULES 2,3,4,5
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NURSING 2020 MODULES 2,3,4,5
Here are some key focus areas for Exam 2 which covers Modules 3, 4, & 5. Review course modules for
information. You are responsible for all content in the chapters, power points, lecture notes, tables,
red flags, figures, boxes, with special focus points on the following topics:
Module 3 Tissue Integrity
• Relate principles of triage to prioritize care delivery in a disaster situation.
• Appraise the roles of the nurse in emergency preparedness and response.
• Prioritize nursing care for the patient during the acute phase of burn injury.
• Develop a comprehensive plan of care for a patient with alteration in tissue integrity.
• Describe the physiological process involved in the maintenance and restoration of
health and wellness, across the lifespan, as it relates to tissue integrity.
o Burns
➢ Review RN delegation of tasks
➢ Infection prevention
Hand washing and perform sterile dressing changes (LPNs can do dressing changes just
reinforce that they have to be sterile) They also must have their PPEs on
➢ Understand how to support severely burned patients from resuscitation to
discharge/rehab; identify priority actions in each phase
Adequate fluid status during resuscitation phase by checking urine output;
Priority for burn patient coming to ED are fluids; priority for patient that has been
electrocuted make sure these patients are on a cardia monitor; what are potential
consequences of burns are self-image and depression
➢ Treatment for patient that develops loud, brassy cough – what is going on here inhalation
injury (They are about to lose their airway, so we want to get ready to intubate) You would
do the same for a person who is having difficulty swallowing or drooling.
➢ Understand common medications administered to burn patients and why the medications are
given i.e. for pain drug of choice is morphine, prevention of ulcers use Tagamet, famotidine,
or ranitidine
➢ Understand nursing assessment of burn patient – what is continuously monitored – s/s to
watch for i.e. drooling, difficulty swallowing-what does the nurse do first? Assess their
airway and listen to their lungs; psychosocial impact of sever burn- would depression be
normal? Yes
➢ Parkland Formula
, NURSING 2020 MODULES 2,3,4,5
Parklands 4mlx Body Space Affects x kg, remember 1st half goes in the first 8 hrs. 2nd half
goes in over the next 16 hrs. Use Lactated Ringer
➢ How to calculate BSA%
➢ Understand lab/ABG values for a burn patient i.e. what is typically seen in burn
patients? Hyperkalemia, hyponatremia, and edema
➢ Describe the different layers of burns r/t involvement of dermis/epidermis
Superficial Partial-Thickness Burn effects epidermis and superficial dermis. They are very
painful and blister formation is common.
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