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RNSG 2432 – Burns Questions With Complete Solutions
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RNSG 2432 – Burns Questions With Complete Solutions
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RNSG 2432 – Burns Questions With Complete SolutionsA nurse is caring for a patient with second- and third-degree
burns to 50% of the body. The nurse prepares fluid resuscitation
based on knowledge of the Parkland (Baxter) formula that
includes which of the following recommendations?
A. The total 24-hour fluid requirement should be administered in
the first 8 hours.
B. One half of the total 24-hour fluid requirement should be
administered in the first 8 hours.
C. One third of the total 24-hour fluid requirement should be
administered in the first 4 hours.
D. One half of the total 24-hour fluid requirement should be
administered in the first 4 hours. Correct Answer B)
Fluid resuscitation with the Parkland (Baxter) formula
recommends that one half of the total fluid requirement should
be administered in the first 8 hours, one quarter of total fluid
requirement should be administered in the second 8 hours, and
one quarter of total fluid requirement should be administered in
the third 8 hours.
A patient is admitted to the emergency department with first-
and second-degree burns after being involved in a house fire.
Which of the following assessment findings would alert you to
the presence of an inhalation injury (select all that apply)?
A. Singed nasal hair
B. Generalized pallor
C. Painful swallowing
D. Burns on the upper extremities
, E. History of being involved in a large fire Correct Answer A,
B, C, E
Reliable clues to the occurrence of inhalation injury is the
presence of facial burns, singed nasal hair, hoarseness, painful
swallowing, darkened oral and nasal membranes, carbonaceous
sputum, history of being burned in an enclosed space, cherry red
skin color
Briefly describe thermal, chemical and smoke/ inhalation burns.
Correct Answer Thermal burns = Most common type of burn
injuries
Caused by: flame, scalding, contact with hot objects (liquids or
solids), steam
Chemical Burns =Tissue injury from: acids, alkalis, organic
compounds (phenols & petroleum products)
Smoke & inhalation burns = Cause damage to the tissues of the
respiratory tract, gases are cooled to body temp before they
reach the lung tissue
- Redness & airway swelling may occur
- smoke inhalation injuries are a major predictor of mortality in
burn patients
- Result from the inhalation of: hot air, noxious chemicals
Electrical=lightning, voltage
Radiation=sunburn, oncology
Describe the Burn Unit referral criteria. Correct Answer - Deep
Partial Thickness burns > 10% TBSA
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