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MDC4 Exam 2-Questions with Correct Answers/ Verified/ latest Version 2024/2025
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MDC4 Exam 2-Questions with Correct Answers/ Verified/ latest Version 2024/2025
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MDC4 Exam 2-Questions with Correct Answers/ Verified/ latestVersion 2024/2025
Superficial first-degree burns
Above basal layer of epidermis, mild to severe erythema is noted,Injured epidermis peels
away; reveals new epidermis heals within 3-6 days without interventions
Superficial second-degree burns (superficial partial-thickness)
Into upper layer of dermis, Moist, Red, Blanching, Blistering,Re-epithelialization from skin
adnexa About 2 wk healing time
Deep second-degree burns (deep partial-thickness)
Deeper into dermis,Less moist,Less blanching,Less painful,Scar deposition, contraction,
limited re-epithelialization; may need grafting. 2-6wk healing time
Full thickness burn (third degree)
oEntire thickness of skin destroyed, into fat. Any color (black, red, yellow, brown, white)
Dry. Contraction and scar deposition; requires grafting
, Forth degree burn
Damage extends into muscle, tendon, bone, Need specialized care; grafting does not work
Burn patient care
oxygen therapy
daily weights
Monitor Labs-Na, K
Teach about immunosupression and interventions to prevent infection
Nutrition-5000 calories per day
Physical therapy to prevent contracture
Compression dressings only when grafts are healed, Medications for pain
Parkland formula
4ml/BSA%/ kg of body weight, first half within the first 8 hours, 2nd half over the next 16
hours.
total body surface area (TBSA)
The amount of body surface affected and the depth of injury caused by a burn.
A burn patient refuses physical therapy due to the pain it causes, what should the nurse do?
Encourage physical therapy with exercise that is not as painful.
Acknowledge patient concerns, Provide pain relief
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