Medical Test With Answers #2

Which of the following best describes the cause of edema after sever burn? Inability of the damaged capillaries to maintain fluids in the cell walls b. Reduced vascular permeability at the site of the burned area с. Decreased osmotic pressure in the burned tissue d. Increased fluids in the extracellular compartment e. The IV fluid being administered too quickly What is the initial cause of hypovolemia during the emergent phase of burn injury? Increased capillary permeability b. Decrease capillary permeability c. Loss of sodium to the interstitium d. Fluid loss from denuded skin surfaces e. Decreased vascular oncotic pressure When does skin regeneration begin to take place with partial-thickness burns? Within 7 days. b. In 2 to 4 weeks. c. After one month. d. After 2 months. e. Between the third and sixth mont Which increase during hypovolemic stage of burn, when plasma leakage produces edema? a. Circulating blood volume b. Systolic blood pressure c. The hematocrit level d. Diastolic blood pressure e. Potassium level Which of them the characteristic of a full thickness burn? a. The destruction of the entire dermis b. The appearance of blisters c. Not associated with edema formation d. Usually very painful because of exposed of nerve endings e. Red, dry and blanch with pressure When does skin regeneration begin to take place with partial-thickness burns? a. Within 7 days. b. In 2 to 4 weeks. c. After one month. d. After 2 months. e. Between the third and sixth month Which increase during hypovolemic stage of burn, when plasma leakage produces edema? a. Circulating blood volume b. Systolic blood pressure c. The hematocrit level d. Diastolic blood pressure e. Potassium level Which of them the characteristic of a full thickness burn? a. The destruction of the entire dermis b. The appearance of blisters c. Not associated with edema formation d. Usually very painful because of exposed of nerve endings e. Red, dry and blanch with pressure Which of the following one, the nurse should know to monitor the patient's urine while providing care for full-thickness electrical burn? a. Hemoglobin and myoglobin b. Hemoglobin and Free iron c. Free iron and white blood cells d. Protein and red blood cells e. Potassium and Urea Follow up activities Chose the correct answer: Which of these is the percentage of burns on the front and back of the right arm and leg. a. 9% b. 18% c. 27% d. 36% What IV solution will be started initially for a burn patient with deep partial-thickness burns over 35% of the body? a. Warmed lactated Ringer's solution b. Dextrose 5% with saline solution c. Dextrose 5% with water d. Normal saline solution When evaluating the laboratory values of the burn-injured patient, which of the following can be anticipated? a. Decreased hemoglobin and elevated hematocrit level b. Elevated hemoglobin and elevated hematocrit level c. Elevated hemoglobin and decreased hematocrit levels d. Hemoglobin and hematocrit levels within normal ranges Which of the following the nurse would classify a patient has a scald burn on the arm that is bright red, moist, and has several blisters? a. A superficial partial-thickness burn b. A radiation burn c. A deep partial-thickness burn d. A full-thickness burn When does the diuretic phase of burn usually begin? a. Within the first 24 hours, when massive amounts of fluid are being administered intravenously. Extracted Text: b. At about 18-72 hours, when fluid is moving from the interstitial to the intravascular compartment. c. At about 18-72 hours, when fluid is moving from the intravascular compartment to the interstitial. d. After 1 week, when capillary permeability has returned to normal. What is the initial cause of hypovolemia during the emergent phase of burn injury? a. Increased capillary permeability b. Decrease capillary permeability c. Loss of sodium to the interstitial d. Decreased vascular oncotic pressure   Which piece of assessment data is the best indicator for the nurse is performing fluid resuscitation on a burn client? a. Respirations 24, unlabored. b. Urine output of 30 ml/hr. c. Apical pulse of 110/min. d. Blood pressure 90/60 Which of these is a serious gastrointestinal disturbance that frequently occurs with a major burn? d. After 1 week, when capillary permeability has returned to normal. Extracted Text: What is the initial cause of hypovolemia during the emergent phase of burn injury? a. Increased capillary permeability b. Decreased capillary permeability   c. Loss of sodium to the interstitial d. Decreased vascular oncotic pressure Which piece of assessment data is the best indicator for the nurse is performing fluid resuscitation on a burn client? a. Respirations 24, unlabored. b. Urine output of 30 ml/hr. c. Apical pulse of 110/min. d. Blood pressure 90/60 8. Which of these is a serious gastrointestinal disturbance that frequently occurs with a major burn? a. Diverticulitis. b. Paralytic ileus. c. Hematemesis. d. Melena Which of these, the nurse should assess the client for after the first 48 hours after a thermal injury? a. Hypokalemia and hyponatremia. b. Hyperkalemia and hyponatremia. c. Hypokalemia and hypernatremia. d. Hyperkalemia and hypernatremia. Expectoration of carbon particles in the sputum is the Cardinal sign of smoke inhalation injury True b. False Curling ulcer is a systemic complication of burn a. True b. False A 40 year old man weighing 60 Kg who sustained a thermal burn injury in a house fire since one hour, by assessing the burned area found that the burn include epidermis and superficial layers of dermis, pain and hoarseness of voice. His anterior trunk and both 18% arms anterior and posterior are burned a. What is the classification of burn according to depth for this case? And mention the characteristics of this classification? Superficial Partialthickness b. Calculate the percentage of total body surface area (TBSA) burned by using rule of nine 18+18=36 c. Calculate and distribute the amount of fluid that should be replaced to the client in the first 24 hours 8640 (4x36x60) ml/24h