Emergent Phase
Intermediate Phase
Rehab Phase
Miscellaneous
100
What is our main concern in the emergent phase?
hypovolemic shock
100
When does the acute phase begin?
When fluid begins to mobilize or the patient begins diuresis.
100
Heavily pigmented skin can look lighter for a longer period of time due to damaged melanocytes. True or False?
True
100
What is the number 1 priority for the first responders at the scene of the fire?
Remove the patient from the burning process!
200
A patient's hematocrit level will be low after sustaining a burn injury. True or False?
False.
The hematocrit level will be elevated due to the hemoconcentration from fluid loss.
200
A patient becomes hypoglycemic after sustaining a burn injury. True or False
False.
A patient will experience hypergylcemia due to the stress response that occurs during a traumatic event.
200
As new skin develops, it can become itchy. What can the patient apply to the skin to help with the itching?
Water-based moisturizer.
200
Burns on a patients ear, nose, buttocks or perineum area place them at higher risk for what complication?
Infection
300
What is the name of the procedure done to restore circulation if a patient has lost perfusion due to a circumferential burn injury?
Escharotomy.
The doctor will make an incision through the full thickness burn.
300
What is the name of the graft put over a burn wound when it comes from the patient's own skin?
Autograft
300
What is the best way for a patient to prevent a contracture?
Proper positioning, splinting, PT and OT.
300
A patient sustained a full thickness burn on the right anterior lower extremity and left posterior upper extremity. Calculate the TBSA.
13.5%
400
Name 3 symptoms of carbon monoxide poisoning.
headache, dizziness, weakness, confusion, SOB and blurred vision.
400
What is the nurses role in wound care for the burn patient?
observation, assessment, cleansing, debridement, and dressing changes.
400
A patient is concerned about the contouring of the new skin developing. What is one way to help the altered contouring?
Pressure garments.
400
What is the depth of this burn?
Deep partial thickness burn
500
You are admitting a new burn patient who weighs 86 kg and has 35% TBSA burns. Calculate their fluid replacement for the first 8 hours.
6,020
4x86x35 = 12,040
12,040/2 = 6,020
500
What is the diet that should be followed for a burn patient?
High protein, high carb diet. Include vitamins, supplements as needed.
500
Name 3 ways the nurse can provide emotional support during the rehab phase of the burn patient.
Promoting self-image, discuss fears, encouraging independence, helping adapt to new life, providing community resources, support groups, education.
500
The anterior head, entire right arm, 1/4 of the anterior torso and perineum sustained full thickness burns in a patient. Using the Rule of Nines, calculate the TBSA.
19%