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NUR 213 Unit 4
- burn that is superficial partial thickness
s/s erythema, edema, pain, blanchable redness
Answer first degree
- burn that is partial thickness presents with painful blisters and can be described as red,
moist, shiny fluid filled vesicles.
Answer second degree
- burn that is full thickness appears dry waxy white, leathery or charred black color and is non
blanchable and is painless
Answer third degree
- burn that extend to bone/muscle presents with lack of pain, charred, eschar formation
Answer fourth degree
- tx
Answer cool water (briefly soak), no ice/creams/antibiotic ointment to open skin, cover area with clean dry cloth, remove clothing/jewelry that is not adhered to the skin
Answer minor burns
- major burns cause what kind of alteration to body fluid
Answer low fluid volume
- #1 intervention for major burns
Answer LR and NS IV (only isotonic solutions!)
- s/s
Answer hyperkalemia- tall peaked T waves on ECG, hyponatremia, elevated H&H,
Answer 1 / 2
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major burns
- what is the most accurate way to assess total body surface of burns in children
Answer lund and brower chart
- for a client with a burn how should the nurse assess that fluid resuscitation is working
Answer urine output
- parkland formula is used for
Answer fluid resuscitation
- what is the parkland formula
Answer 4ml x BSA(%) x kg
- what amount of the fluid using the parkland formula is given in the first 8hrs
Answer 1/2
- what medication is used with occlusive dressings ,effective against certain bacteria (gram +,
- Contraindicated for sulfa allergy.
- burns when applied
-) and yeast.
Answer silvadene
- first 24-48 hrs after burn occurs, the client is in what phase of burn care
Answer emergent
- once fluid resuscitation is done and new tissue covers the wound, the client is in what
phase of burn care
Answer acute
- what phase is the burns client in if a reconstructive procedure is done
Answer re- habilitive
- involves the compression of nerves and blood vessels due to swelling within the enclosed
- / 2
space created by the fascia that separates groups of muscles