HESI RN Case Study: Burns| Questions and Answers 2023 with complete
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HESI RN Case Study: Burns|
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HESI RN Case Study: Burns|
1. What is the most common cause of burn injuries?
o Answer: Thermal burns (e.g., from fire, hot liquids, or steam) are the most common.
2. How is the extent of a burn injury assessed?
o Answer: The extent of a burn injury is assessed using the Rule of Nines or the Lund-Browder chart.
3. What a...
1. What is the most common cause of burn injuries?
o Answer: Thermal burns (e.g., from fire, hot liquids, or steam) are the most
common.
2. How is the extent of a burn injury assessed?
o Answer: The extent of a burn injury is assessed using the Rule of Nines or the
Lund-Browder chart.
3. What are the immediate priorities in the management of a major burn injury?
o Answer: The immediate priorities are to stop the burning process, assess the
airway, breathing, and circulation (ABCs), and initiate fluid resuscitation.
4. What is the Parkland formula, and how is it used?
o Answer: The Parkland formula is used to calculate fluid resuscitation needs in
burn patients: 4 mL of lactated Ringer's solution per kilogram of body weight per
percentage of total body surface area burned, with half the volume administered
in the first 8 hours and the other half over the next 16 hours.
5. What are the signs and symptoms of inhalation injury?
o Answer: Signs and symptoms of inhalation injury include singed nasal hairs,
carbonaceous sputum, hoarseness, stridor, wheezing, and tachypnea.
Specific Interventions
6. What is the purpose of debridement in burn wound care?
o Answer: Debridement removes dead tissue and promotes healing.
7. What are the different types of wound dressings used for burns?
o Answer: Common wound dressings include hydrogels, hydrocolloids, alginates,
and biologic dressings.
8. What is the role of hyperbaric oxygen therapy in burn management?
o Answer: Hyperbaric oxygen therapy can enhance wound healing by increasing
oxygen delivery to tissues.
9. What are the nursing interventions for a patient with circumferential burns to an
extremity?
o Answer: Nursing interventions include monitoring for compartment syndrome,
elevating the extremity, and applying loose dressings.
Patient Assessment and Monitoring
10. What vital signs should be monitored closely in burn patients?
Answer: Vital signs to monitor include heart rate, blood pressure, respiratory rate,
temperature, and oxygen saturation.
11. How is urine output measured and interpreted in burn patients?
Answer: Urine output is measured using a urinary catheter, and it is a key indicator of
fluid resuscitation adequacy.
12. What are the signs of hypovolemic shock in a burn patient?
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