Recognizing Cues
Skin is red, dry, and painful with no blisters
What is a first degree burn?
The first nursing priority for a major burn patient
What is airway management?
A burn covering more than this percent of the body is considered major in adults
What is greater than 20% TBSA?
The nurse removes this to prevent further tissue damage
What is tight clothing or jewelry?
A key reason to avoid popping burn blisters
What is preventing infection?
Skin is red with blisters and very painful
What is a superficial partial-thickness burn?
Lactated Ringer’s is given to prevent this complication
What is hypovolemic shock?
Decreased urine output in a burn patient suggests this problem
What is inadequate fluid volume?
The best IV access for a major burn patient
What is a large-bore IV?
The best way to protect healing skin from the sun
What is using sunscreen or protective clothing?
Skin looks moist or waxy, and pain may be less intense
What is a deep partial-thickness burn?
This nursing action helps prevent infection
What is using sterile technique for wound care?
A patient with facial burns and hoarseness is at risk for this
What is airway obstruction?
This action helps prevent hypothermia in burn patients
What is keeping the patient warm?
Patients should increase protein intake to help with this
What is tissue repair?
Skin is white, brown, or charred and has little or no pain
What is a full-thickness burn?
Burn patients need high-calorie, high-protein diets to support this
What is wound healing?
Increased heart rate and low blood pressure indicate this complication
What is shock?
The nurse elevates burned extremities to reduce this
What is edema?
A sign of infection the patient should report right away
What is increased redness, drainage, or fever?
Loss of sensation happens because nerve endings are destroyed
What is a full-thickness burn?
A key nursing action to reduce burn pain during dressing changes
What is giving pain medication before the procedure?
The nurse knows fluid resuscitation is working when this improves
What is urine output?
The nurse gives oxygen even if SpO₂ looks normal because of this risk
What is carbon monoxide poisoning?
Teaching that helps prevent future burns in the home
What is setting water heaters below 120°F?