Module 16: Integumentary Disorders: Burns
1. How do acids and alkaline agents cause chemical burns? And what is the
immediate treatment for each? (Lewis p. 484)
2. How do electrical burns destroy tissue and what determines severity?
(Lewis p. 485-486)
3. What layer of skin is lost and what does the burn area looks like with:
a. Superficial Partial Thickness burn (1st degree)
b. Deep Partial thickness burn (2nd degree)
c. Full-thickness burn (3rd degree)
d. Full-thickness burn (4th degree)
4. Which of the above is most painful to the client? Which requires a skin graft to
heal? (Lewis p. 486-487)
5. If the client has burns of the face, the anterior surface of one arm, and the
anterior surface of the trunk, calculate the % of TBSA using the Rule of Nines.
(Lewis p. 487)
6. What is the difference between minor and major burns according to the
American Burn Association Classification?
7. Explain the processes that occur in ‘Burn Shock’. During the emergent phase,
what would you expect to see in the lab tests for Hct, Na and K? When does it
shift back? What would your primary assessment focus if an individual was
burned in an enclosed space? (Lewis p. 488-495)
8. What would your primary assessment be if an individual was not in an enclosed
space, but had burns about the face?
9. What is Curling’s ulcer? What can be done to prevent?
10. What is myoglobinuria and how does it damage the kidney?
11. What is the most common source for infection/septicemia in the burn client?
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12. How long does hypermetabolism last in a client with a major burn?
13. What is are the highest priorities for the client in each of the following phases:
emergent/resuscitative, acute and rehabilitation stages of a major burn?
14. Discuss some of the emotional needs of the client and their family. How can
the health care team assist with these needs? (Lewis p. 505)
15. Why do you cover the burn individual in the initial stages of a thermal burn?
16. What IV fluid is given in the initial fluid resuscitation stage? What is given in the
next stage and why then? (Lewis p. 493-497)
17. What are the two pieces of data that is needed to calculate the fluid
replacement using one of the formulas? (Lewis Table 25-12 p. 497)
18. Why are serial Chest X-rays done on clients with suspected respiratory
19. What is and why would an escharotomy be performed? What assessment would
the nurse need to do to assess for the need for an escharotomy?
20. What client teaching needs to done regarding pressure garments?
21. Why might contractures form and what can be done to prevent? (Lewis p. 504)
22. Why would you NOT give IM medication in the emergent stage of a burn?
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