Burns & Resuscitation
Using the Rule of Nines, what percentage is one entire arm?
Answer: 9%.
What kind of change in a mole is concerning?
Answer: A color change.
What does melena—black, tarry stool—possibly indicate?
Answer: Upper gastrointestinal bleeding.
What nutrient deficiency can occur after major stomach removal
Answer: pernicious anemia.
What medication is the antidote for acetaminophen overdose?
Answer: N-acetylcysteine (Acetadote).
What is the TBSA for one entire arm plus the posterior trunk?
Answer: 27% (9% + 18%).
What test may help detect tinea capitis?
Answer: Wood's light examination.
How should the head of the bed be elevated to help manage GERD,
Answer: Elevate the head of the bed 4–6 inches.
What disease requires a gluten-free diet?
Answer: Celiac disease.
What is octreotide used for in a patient with esophageal varices?
Answer: It reduces portal pressure, helping control bleeding from esophageal varices.
After escharotomy for a circumferential leg burn, what assessment is the priority?
Answer: Assess the quality and return of distal pulses
What wound tissue has a grainy, budding, slightly spongy appearance and indicates healing?
Answer: Healthy granulation tissue.
What serious esophageal change can develop over time with GERD?
Answer: Barrett's esophagus
What is the long-term management goal for Crohn disease?
Answer: Achieve and maintain remission.
What temperature after liver transplant should be reported immediately
Answer: Greater than 101°F (38°C).
Low BP, pulse 120, and urine output 10 mL in an hour after a major burn suggest what problem?
Hypovolemia or fluid volume deficit
Name two pressure-injury prevention actions from the study guide.
Reposition at least every two hours
keep skin clean and dry
offloading heels,
maintaining adequate nutrition and hydration,
angle at 30° or less.
When should omeprazole be taken,
Answer: In the morning before a meal.
A constipated patient passes small amounts of liquid stool. What condition may cause this
Answer: Fecal impaction
Name two expected features of acute pancreatitis
Answer:
Severe epigastric pain radiating to the back
abdominal distention.
guarding or rigidity
hypotension or shock
respiratory distress
What three new findings in a burn patient raise concern for sepsis and require prompt reporting?
Answer: Fever, agitation, and changes in vital signs or urine output.
A colostomy stoma is dusky blue and dry suggest this
Answer: Possible compromised circulation or tissue ischemia.
After an EGD, what must be confirmed before oral intake?
Answer: gag reflex
Sweating shortly after eating three days after gastrectomy may indicate what complication?
Answer: Dumping syndrome.
What are two key ways to reduce hepatitis C transmission risk?
Answer:
Practice careful hygiene
avoid contact with infected blood or potentially contaminated body fluids