Burn Assessments
A superficial burn only involves this layer of the skin.
What is the epidermis?
A client has circumferential burns on their torso. To facilitate chest wall movement, this procedure may be done.
What is an escharotomy?
A pediatric client ahs ingested a bottle of acetaminophen. This is the antidote to be administered IV STAT.
What is n-acetylcysteine?
A client with abdominal trauma presents with a HR of 110, RR or 28, and BP of 96/48. The nurse suspects that this has occurred.
What is internal hemorrhaging?
A client has been bitten by a brown recluse spider. The client's vitals are stable, and their pain is "okay." This action is what the nurse should do first.
What is clean the wound?
A client is 48 hours post-burn. The nurse knows to anticipate a drop in these two electrolytes.
What are sodium and potassium?
A client was sprayed at the gas station with a gasoline hose. The nurse has the client exposed with two large bore IVs in place. This is the nurse's next intervention.
A client has undergone abdominal trauma. To assess if a client is bleeding, they may undergo this diagnostic test.
What is an ultrasound or FAST?(Focused Assessment with sonography)
A client has had abdominal trauma. They were only wearing the lap part of the seatbelt. The nurse is concerned for this injury.
What is liver shearing?
This is an example of a category A biological agent, due to its ability to be easily transmitted, and cause public panic. (several correct answers)
What are Anthrax, Botulism, the plague, smallpox, tularemia, Ebola, Marburg, Arenaviruses, and a few others?
The client has undergone an electrical burn. The client was in a circuit with the electricity for several seconds. The nurse inserts a foley, and notes that the client's urine is dark and the client is oliguric. The nurse knows that the client has likely developed this condition.
What is myoglobinuria?
A client was sleeping near a campfire and received a burn injury. The fire burn one side of their face( ala Harvey Dent) their torso, the front of their right arm, and their right palm. This is the percentage of burn they would have.
What is 285?
A high school football player had a blow to the chest that broke several of their ribs. The nurse notes that the client' lung contracts with inhalation, and expands with exhalation. To adequately treat this, the nurse knows the client need this intervention.
What is positive pressure ventilation?
A client was exposed outside on a hot day for several hours, and has been diagnosed with heat exhaustion. The nurse knows that this intervention will be ordered and should be done first.
What is administration of fluid with electrolytes?
A nurse is assessing a client after a building collapse. At first assessment, the client is breathing. The nurse performs a jaw thrust, and the client begins to breathe at 18 RR/min. This is how the client should be tagged.
What is red?
A client with a burn injury has lost 4 pound over 24 hours. The nurse knows that this is likely due to this.
What is fluid loss?
A client with an electrical burn was thrown across the room and was unobserved. This is the nurse's first priority.
What are C-spine precautions?
The nurse notes that a bullet wound has an entrance point in the posterior RUQ and an exit point in the right chest. This is the nurse's priority assessment.
What is the client's breathing, including chest rise and fall?
A client is hypothermic, and has been warmed slowly. The client begins to develop petechiae all over their arm. They are experiencing disseminated intravascular coagulation. The nurse expects this lab value to be significantly decreased due to the DIC.
What are platelets?
A client in an MCI has a RR or 24, HR 98, radial pulse present, and can follow simple commands. This color is how they would be tagged.
What is yellow?
The nurse notes that a burn client's voice has gotten deeper over the past few hours. The nurse should prepare the client for this diagnostic procedure.
What is bronchoscopy?
A client has a burn injury that happened 48 hours ago. The client has a HR of 120, BP 88/54, Temp 37.1° C, RR 28, and O2 89% on 4L. The doctor orders fluid to treat the client. The nurse knows the client has likely developed this condition.
What is systemic inflammatory response syndrome?
Here is a mix of triage and trauma assessment. A client was in a massive car accident with 57 other cars. Their air bag was faulty and did not deploy. The client is suddenly unresponsive, and has developed severe hypotension and a high HR. The client's airway is not obstructed. The nurse knows this has occurred, and that they should tag the client as this color.
What is aortic rupture, and black?
A client ingested a bottle of unmarked pills. The client presents with a fever, ataxia, dry mouth, and tachycardia. The nurse suspects this therapeutic class was in the bottle.
What are antidepressants?
The belief in doing the most good for the most people in philosophy is called this. It is what we use for MCI triage(trivia and I also included a learning tidbit. Curtis is crushing it over here)
What is utilitarianism?(and I spelled it right on the first try, heck yeah)