NURS 380 (Exam 3) Practice Questions and Correct Answers
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Course
NUR 380
Institution
NUR 380
What are the 3 phases of burn injury? 1. Emergent or resuscitative phase (hypovolemic stage)
2. Acute or intermediate phase (hypervolemic stage)
3. Rehabilitation phase
When is the onset and end point for Emergent or resuscitative phase (hypovolemic stage)?
Time frame? Onset of injury to comple...
NURS 380 (Exam 3) Practice Questions
and Correct Answers
What are the 3 phases of burn injury? ✅1. Emergent or resuscitative phase
(hypovolemic stage)
2. Acute or intermediate phase (hypervolemic stage)
3. Rehabilitation phase
When is the onset and end point for Emergent or resuscitative phase (hypovolemic
stage)?
Time frame? ✅Onset of injury to completion of fluid resuscitation
First 24 - 48 hrs
When is the onset and end point for Acute or intermediate phase (hypervolemic stage)?
Time frame? ✅From beginning of diuresis to wound closure
48 - 72 hrs after injury, starts at diuresis (more than 30-50 ml/hr)
When is the onset and end point for Rehabilitation phase? ✅From wound closure to
return to optimal physical and psychosocial adjustment
Interventions in Emergent/Resuscitative phase? (10) ✅1. Remove patient from heat
source
2. Initiate first aid
3. Assess extent of burn injury (rule of 9)
4. Prevent hypothermia
5. Assess for shock
6. Determine need for intubation
7. Determine need for intravenous therapy
8. Fluid resuscitation
9. Hx
, 10. Transport to tertiary care faculity
Interventions for acute phase (8) ✅**1. Begin hydrotherapy (monitor fluid and
electrolytes... Na & K)
2. Determine need for excision of burn wound
**3. Control spread of infection
**4. Wound care
**5. Nutrition support (enteral feedings... Monitor glucose)
6. Graft burn wound
7. PT
**8. Manage pain
Interventions for rehab phase (6) ✅1. Prevent scar formation
2. PT
**3. Address psychosocial, cultural, and spiritual needs
**4. OT
**5. Vocational training
**6. Home maintenance mm
Emergent or resuscitative phase: On-the scene care (7) ✅1. Prevent injury to rescuer
2. Stop injury: extinguish flames, cool the burn, irrigate chemical burns
3. Abcs: establish airway, breathing, and circulation
4. Start oxygen and large-bore ivs
5. Remove restrictive objects and cover the wound (prevent compartment syndrome)
-- Elevate above lvl of heart
-- Remove jewelry & constrictive clothing
-- Observe for compartment syndrome
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