HURST Review Burns Exam Update 2024 |
Hurst Burns Exam Latest 2024 Questions and
Correct Answers Rated A+
Where do most burns occur? -ANSWER-At home
How often should smoke detector batteries be changed? -ANSWER-
every 6-12 months
Flammable items should be kept at least how far from heat sources? -
ANSWER-3 feet
The water heat device should be set no higher than -ANSWER-120
degrees fahrenheit
Why does plasma seep out into the tissue after a burn? -ANSWER-
Increased capillary permeability
When does the majority of plasma seepage occur? -ANSWER-first 24
hours (worry about shock!)
Why does the pulse increase after a burn? -ANSWER-compensation;
every time there is a FVD, the pulse will increase
Why does the cardiac output decrease after a burn? -ANSWER-there
is less volume to pump out
Why does the urine output decrease after a burn? -ANSWER-kidneys
are either trying to hold on to fluid or they aren't being perfused
adequately
,Why is epinephrine secreted after a burn? -ANSWER-because epi
and norepi make you peripherally vasoconstrict, blood is shunted to
the vital organs
With a normal BP of 120/80, anytime the systolic BP drops below
______, the client will not have adequate organ perfusion; this can be
very DANGEROUS -ANSWER-90
Why are ADH and aldosterone secreted after a burn? -ANSWER-to
retain sodium and water with aldosterone and retain water with ADH;
this will increase blood volume
Rule of 9's: Head and Neck -ANSWER-9%
Rule of 9's: Trunk (Front and Back) -ANSWER-36% total - front 18%
and back 18%
Rule of 9's: Arm -ANSWER-9% each
Rule of 9's: Leg -ANSWER-18% each
Rule of 9's: Genitalia -ANSWER-1%
Partial thickness burns are also known as -ANSWER-first and second
degree burns
Full thickness burns are also known as -ANSWER-third and fourth
degree burns
If a burn is located on the face, neck, or chest -ANSWER-there could
be interference with breathing
, Burns: Risk Factors -ANSWER--heart, lung, or kidney disease
-pre-existing diabetes or PVD can affect healing of
foot or leg burns
-other injuries that occurred when client was
burned
-higher mortality in very old and very young
Why is there a higher mortality among the very old and very young
with burns? -ANSWER--skin is very thin and they have less SQ fat
-the burn can go deeper and cause more complications
-body surface area is less in the very young
Burns: Treatment -ANSWER-Stop burning process
-wrap client in blanket to stop (absent flames do not guarantee this)
-cool water can stop
-NO more than 10 minutes (can cause extensive heat loss)
-remove jewelry because swelling will occur
-remove non-adherent clothing and cover burns with clean, dry cloth
What does a blanket do when stopping the burning process? -
ANSWER-help hold in body heat and keep out germs
What is the number one cause of death with burns? -ANSWER-
inhalation injury
inhalation injuries are usually caused by inhaling -ANSWER-carbon
monoxide OR hydrogen cyanide
Normally, oxygen binds with -ANSWER-hemoglobin
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