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NUR286 DIDACTIC FINAL EXAM (SCORED) A+
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NUR286 DIDACTIC FINAL EXAM (SCORED) A+
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NUR286DIDACTIC FINAL
EXAM (SCORED)
A+
Evatee 10/23/24 NUR 286
,NUR286 DIDACTIC FINAL EXAM (SCORED) A+
1st degree burn Answer - Only surface of epidermis affected
Heals in 3-5 days and will feel pain
2nd degree burn Answer - Deeper injury that causes blistering. Burns through
the first layer and begins to blister. Somewhat shiny and moist.
Heals within two weeks and will still feel pain.
3rd degree burn Answer - Burns involving all layers of the skin. Epidermis and
dermis gone. Subcutaneous and/or muscular tissue is affected.
Heals within weeks to months. May or may not feel pain.
4th degree burn Answer - Burns extend into the muscle and bone. Bone is
visible. No pain present due to dead nerves. Requires grafting because the skin
and tissue will not heal on their own.
Heals within a few months assuming graft is performed.
Parkland formula Answer - 4ml * kg * %TBSA
½ over 8 hours (starts at time of burn)
½ over 16 hours
,American Burn Association Formula Answer - 2ml * kg * % TBSA
4ml * kg * % TBSA (electrical burns)
½ over 8 hours (starts at time of burn)
½ over 16 hours
Rule of Nines Answer - Head: 4.5
Arm: 4.5
Chest: 9
Abd: 9
Groin: 1
Leg: 9
Emergent phase of burn care Answer - ABCs (Intubation if necessary)
Prevent respiratory distress and failure (Again, intubate)
Shock prevention (Fluid and plasma shifts from the tissues into the burn)
-Fluid resuscitation (Titratable - usually LR bolus)
-UO goal: 0.5-1 mL/kg/hr
-MAP goal: above 65 mmHg
-*Watch for S/S fluid overload*
Detection and treatment of concomitant injuries
Wound assessment and initial care (tetanus booster)
Monitoring (see notes)
, Psychosocial care (body image; monitor for s/sx abuse)
Acute intermediate phase of burn care Answer - (Begins 48-72 hours after
burn injury & lasts until burn closure is complete)
Care focuses on:
-Monitoring of respiratory & circulatory status
-Fluid/electrolyte balance
-Infection
-Wound care
-Pain management
Rehabilitative phase of burn care Answer - Prevent and treat complications
Abnormal wound healing
Therapies
Functional and cosmetic reconstruction
Case management
Psychosocial counseling
TPA Calculation Answer - 0.9 mg/kg= total dose
10% bolus followed by 90% infusion over 1 hour
Hyperthyroidism presentation Answer - Intolerance to heat
Fine, straight hair
Exopthalmia (bulging eyes)
Facial flushing
Enlarged thyroid
Tachycardia
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