Life Saving Reality
Plight of the Firebird
Biohazard Blitz
Medical Mayhem
Using the Rule
The Hot Zone Math
100
During the primary assessment, this tool is used to determine if the patient is alert.
What is the AVPU scale?
Alert, Verbal, Painful, Unresponsive
100
The incidence of infection increases with the size of the burn wound due to this.
What is because the skin is the first line of defense against microorganisms?
100
An infectious agent that can be aerosolized and is associated with a high mortality rate, making it a high-priority bioterrorism threat.
What is anthrax?
100
Apply direct pressure to an external bleeding site, along with elevation of the site if it's a limb will allow for this.
What is stop the flow of blood and allow normal coagulation to occur?
100
A quick way to estimate the Total Body Surface Area, or TBSA, affected by a burn.
What is the Rule of Nines?
100
A patient requires the application of Silver Sulfadiazine (Silvadene) to a burn. The instructions state to apply it 1/16 inch thick twice daily. If the nurse uses a 50g jar for a single treatment and has 400g in stock, how many full treatments are available?
What is 8 treatments?
200
The airway maneuver used when a patient has a suspected c-spine injury.
What is a jaw-thrust maneuver?
200
A full-thickness burn is also known by this name, which describes the thick, leathery, burned tissue.
What is an eschar?
200
The standard precaution a nurse should prioritize when caring for a patient suspected of having a bioterrorism-related respiratory illness.
What is airborne isolation precautions?
200
Cover exposed organs with sterile saline-soaked gauze for this reason.
What is to prevent infection and tissue necrosis?
200
An adult patient has full-thickness burns to their entire left arm, front and back.
What is 9% TBSA?
200
A patient in the emergent phase of a burn injury is prescribed Morphine 4 mg IV for pain. The vial on hand is 10 mg/mL. How many mL will the nurse administer?
What is 0.4 mL?
300
This is the Glasgow Coma Scale (GCS) score for a patient who opens their eyes to sound, is confused, and withdraws from pain.
What is 10?
This is calculated by adding the eye opening score (2 for to sound), the verbal score (3 for confused), and the motor score (5 for withdraws from pain). The total score helps determine the severity of a brain injury: mild (13-15), moderate (9-12), or severe (3-8).
300
The most critical nursing priority during the emergent phase of a burn injury.
What is airway management?
300
This syndrome, caused by a Category A agent, can lead to descending flaccid paralysis that the nurse must monitor for.
What is botulism?
300
This results when blood or fluid accumulates in the pericardial sac.
What is cardiac tamponade?
300
A 30-year-old patient has partial-thickness burns on their entire posterior trunk and the front of their right leg.
What is 27% TBSA? (18% for the posterior trunk and 9% for the anterior right leg)
300
An adult patient weighing 80 kg has sustained 20% TBSA burns. Using the Parkland Formula (4 mL × kg × %TBSA), what is the total volume of Lactated Ringers needed in the first 24 hours?
What is 6,400 mL?
400
Name the components of the secondary survey, and what kind of patients are they completed on.
What are the head, spine, chest, abdomen, and musculoskeletal system, and severe trauma patients?
400
This non-surgical procedure involves cutting through the eschar to restore circulation to the burn-injured limb.
What is an escharotomy?
400
The most critical nursing intervention for a large group of people exposed to a nerve agent during a bioterrorism attack.
What is rapid decontamination?
400
Two or more rib fractures not attached on either end.
What is a flail chest?
400
For a 5-year-old child, the head and neck account for a higher percentage of TBSA than an adult.
What is 18%?
400
A total of 6,400 mL of Lactated Ringer's intravenous solution is to be infused. At what rate (mL/hr) should the nurse set the infusion pump for the first 8 hours of care?
What is 400 mL/hr?
500
This is the action that is taken if the patient does not have a pulse.
What is cardiac compressions are started?
500
The primary electrolyte imbalance a nurse would anticipate during the emergent phase of a burn injury.
What is hyperkalemia?
500
This is the specific nursing action for a patient who presents with smallpox-like lesions and the nurse has confirmed the suspected exposure.
What is immediately isolating the patient in a negative-pressure room?
500
Name the three forms of heat exposure that hyperthermia can manifest.
What are heat cramps, heat exhaustion, and heatstroke?
500
The TBSA of a pediatric patient with full-thickness burns to the entire front and back of the head and neck and the anterior side of both legs.
What is 32% TBSA? (18% for the head and neck, 7% for the anterior right leg, and 7% for the anterior left leg)
500
A total of 6,400 mL of Lactated Ringer's intravenous solution is to be infused. The pump has already been calculated for the first 8 hours of care. What will be the infusion rate (mL/hr) for the remaining 16 hours of the first day?
What is 200 mL/hr?
