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NUR 254 ( LATEST 2024 / 2025 ) INTEGUMENTARY 1 | ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
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NUR 254 ( LATEST 2024 / 2025 ) INTEGUMENTARY 1 | ACTUAL QUESTIONS AND ANSWERS 100% CORRECT
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NUR 254 Integumentary 11. What are risk factors for burns?
Answer
- Males
- Older adults (65+)
- Children age 4 and younger
- Socioeconomic status
- African and native Americans
- Rural areas
- Physical/mental disability
- Occupation
2. Who is most at risk of death by burns?
Answer
Older adults
3. What are considerations for older adults in relation to burns?
Answer
- Suffer greater
% of TBSA d/t thinner skin
- Experience more inhalation injuries d/t decreased mucus production and goblet cells
- Likely to have pre-existing conditions that increase risk for complications
4. Why are burn pts at risk for hypovolemic shock?
Answer
When burns get into deep tissues, cell membranes rupture causing inability to retain water
5. What are the 4 different types of burns?
Answer
- Thermal
,- Chemical
- Electrical
- Radiation
6. What is a thermal burn?
Answer
Exposure to dry heat (flames) or moist heat (steam and hot liquids)
7. What is a chemical burn?
Answer
Direct skin contact with acids/base agents, or organic compounds
8. What is a electrical burn?
Answer
Exposure to direct current or alternating current (internal damage more severe w/ this)
9. What is a radiation burn?
Answer
Usually associated w/ sunburn or radiation treatment
10. What type of tests need to be done for electrical burns specifically?
Answer
-
EKG/cardiac monitoring
11. What other injuries can result from an electrical burn?
Answer
- Tetany injuries
- Spasms to the point of breaking bones
- Traumatic injuries (r/t being thrown)
- Slowed healing process (d/t injuries to both the skin and bone)
, 12. What are some important teachings for pts at risk for/with radiation burns?
Answer
- Don't put lotion on before chemo treatment
- Drink plenty of water
- Don't wear tight clothing
- Avoid skin irritation
13. How do you stop the burning with a dry heat thermal burn?
Answer
Smother inflamed clothing (stop, drop, and roll)
14. (T/F) Moist heat thermal burns is stopped by using lavage with cold water.-
Answer
False (Must use COOL water)
15. How do you stop the burning with a chemical burn?
Answer
Immediately remove clothing and use hose/shower for at least 20 minutes for liquid chemicals
(powder chemicals need to be removed prior to being rinsed)
16. How do you stop electrical burning? What must you check on this pt once the burning is
stopped?
Answer
- Ensure electrical source is disconnected & move pt to safety
- ABC's, C-spine precautions, exit/entry sites, assess for injuries, check LOC (PER- RLA,
AOx4, & GCS)
17. How do you stop radiation burning?
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