NUR 185 exam

Superficial thickness burn is considered what?

1st degree burns

Deep partial thickness burns are considered what?

2nd degree burns

Full thickness burn are considered what?

3rd, 4th and 5th degree burns

Superficial Thickness: epidermis -

dry, no blisters - blanches, pink or red, & intact skin - pain is mild

Which layer of skin is affected in a superficial thickness burn?

Epidermis

What is the hallmark clinical sign of a partial thickness burn?

Blisters

Which burn depth is characterized by a dry, leathery, or charred appearance?

Full Thickness

What rule is used to estimate the percentage of total body surface area (TBSA) burned?

Wallace Rule of Nines

Signs of smoke inhalation injury?

Sooty sputum, Singed nasal hairs, Restlessness

What is the primary priority if an inhalation injury is suspected?

Protect the airway

What does the Baux Score predict?

Probability of mortality

A Baux score over what value is generally considered nonsurvivable?

140

What electrolyte imbalance occurs during the emergent phase due to Cell destruction?

Hyperkalemia

What is the preferred IV fluid for burn resuscitation?

Lactated Ringers

Order the phases of burn management from earliest to latest:

1. Emergent

2. Acute

3. Rehabilitation

What is the name of the stress ulcer that can occur after a burn injury?

Curling Ulcer

When does the emergent phase of a burn injury end?

When fluid shifts stabilize

What is the main concern during the Acute (Diuretic) phase?

Circulatory overload

What electrolyte shift is expected during the Acute (Diuretic) phase?

Hypokalemia

Which medication is an aminoglycoside used for severe bacterial infections?

Gentamicin

What is a common side effect of Silvadene on the skin?

Blue-green discoloration

What is the medical term for a 'facelift'?

Rhytidectomy

What tool is used to remove skin grafts?

Dermatome

Which surgical procedure relieves pressure and restores circulation by cutting through eschar?

Escharotomy

What is a graft called when it uses the patient's own skin?

Autograft

What is a heterograft (xenograft)?

Skin from another species

How long must a grafted area typically be immobilized?

3-7 days

What is the drug class of Silvadene (silver sulfadiazine)?

Sulfonamide

Which graft type is preferred for highly visible areas like the face?

Full-thickness graft

What is the primary goal of the Rehabilitation phase regarding musculoskeletal health?

Prevent contractures

What should the nurse monitor for when administering Gentamicin?

Ototoxicity

What is the serious adverse effect of opioid agonists like Dilaudid?

Respiratory depression

In the Rule of Nines, what percentage is assigned to the entire anterior trunk?

18%

The method of wound care that uses topical antimicrobials without dressings

The open method

What is the preferred donor site for an autograft?

Thigh

What should be done with the fine-mesh gauze on a donor site as it dries?

Let it peel away

Which phase of burn care involves the 'flash flood' of fluid returning to vessels?

Acute phase

What is the purpose of an escharotomy?

Relieve circulatory constriction

Primary electrolyte found in lactated ringers

Sodium

Which medication is used for pre medication before painful burn treatments?

Morphine