Exam 36: Burns

A patient is brought to the emergency department after a house fire.He fell asleep with a lit cigarette,and the couch ignited.TBSA burn is estimated at 25% deep partial-thickness burns to areas of the chest,back,and left arm and 20% full-thickness burns to the right arm,right upper leg,and areas on the face.The nurse is unable to obtain a palpable pulse or a Doppler pulse signal in the right arm on admission of this patient.What immediate intervention is needed?

Management of full-thickness burns includes

Which of the following is most important when determining whether or not to refer a patient to a burn center?

A patient is brought to the emergency department after a house fire.He fell asleep with a lit cigarette,and the couch ignited.TBSA burn is estimated at 25% deep partial-thickness burns to areas of the chest,back,and left arm and 20% full-thickness burns to the right arm,right upper leg,and areas on the face.The patient is now in the intensive care burn unit with a heart rate of 140 beats/min,a urine output of 25 mL/hr,and clear lung sounds.The patient's symptoms are most likely attributable to

Roughly 80% of burns in children are classified as

A patient is brought to the emergency department after a house fire.He fell asleep with a lit cigarette,and the couch ignited.TBSA burn is estimated at 25% deep partial-thickness burns to areas of the chest,back,and left arm and 20% full-thickness burns to the right arm,right upper leg,and areas on the face.The nurse should have a high suspicion for myoglobinuria with which type of burn injury?

A red and white wound surface with blanching but no blister formation describes what depth of burn injury?

This phase occurs 4 to 20 days after injury and involves rapid synthesis of collagen.

From the surface inward,identify in the correct order the five layers of the skin: 1)Stratum granulosum 2)Stratum corneum 3)Stratum germinativum 4)Stratum lucidum 5)Stratum spinosum

A patient involved in a house fire is brought by ambulance to your emergency department.He is breathing spontaneously but appears agitated.He does not respond appropriately to questions.You assume he has inhaled carbon monoxide and has carbon monoxide (CO)poisoning.Your first action is to