front 1 Isabella has a burn that is affecting the epidermal layer of the skin. She does not require medical intervention. | back 1 superficial=A superficial burn only affects the epidermal (top) layer of skin and does not typically require medical intervention to heal. |
front 2 The nurse is reviewing the lab work for Carlos. He was admitted 12 hours ago with a diagnosis of deep partial-thickness burn. | back 2 Low sodium level=It is expected that both the potassium and sodium levels will be decreased due to the fluid shift that occurs after the initial burn. Potassium and sodium begin to leak out of the intravascular space with this fluid shift. |
front 3 Noah has a burn that affects the epidermis, dermis, and portions of the subcutaneous tissue from a cooking injury. His nurse is assessing his wound. | back 3 Full thickness=A full-thickness burn will involve damage to the epidermis, dermis, and portions of the subcutaneous tissues. |
front 4 The nurse is inspecting Virginia’s burn. It includes the epidermis and the superficial or minimal layers of the dermis. | back 4 Superficial partial thickness=The nurse is inspecting Virginia’s burn. It includes the epidermis and the superficial or minimal layers of the dermis. |
front 5 The nurse is working in the emergency department and sees Vivian, a patient in triage who was involved in a fire. Vivian has no burns to the skin, but is speaking hoarsely and has singed eyebrows. | back 5 Immediate respiratory assessment=The nurse should perform an immediate assessment of the patient to evaluate respiratory rate, effort, breath sounds, presence of carbon (soot) in the sputum, oxygen saturation, confusion, and agitation. |
front 6 Olivia has a burn from hot oil. It is affecting the epidermis and extends into the deeper portions or bottom layers of the dermis. | back 6 deep partial thickness=A deep partial-thickness burn involves the epidermis and extends into the deeper portions or bottom layers of the dermis. |
front 7 The nurse is caring for Will, who has a deep partial-thickness burn to the left lower extremity. What would be the priority nursing action related to the location of the burn? | back 7 Monitor pedal pulses=The nurse should closely monitor pedal pulses for the first 48 hours to assess for the potential development of compartment syndrome, a painful and serious condition in which pressure within the muscle builds to dangerous levels. The other nursing actions could be appropriate, but are not related specifically to the location of the burn. |
front 8 Rosie has experienced a significant burn from a house fire. She is in the intensive care unit on a ventilator. | back 8 Elevated hematocrit=Plasma is lost to extravascular spaces, leaving the remaining blood very viscous, which causes the hematocrit to increase. |
front 9 Tori has burns to the tissues of the neck after receiving treatment for thyroid cancer. The skin is red and excoriated. | back 9 Radiation=Radiation injuries are often associated with the industrial use of ionizing radiation, nuclear accidents, and therapeutic radiation treatment, such as radiation therapy used for cancer. Sunburn is also considered a radiation burn because it is caused by ultraviolet radiation and is the most common type of radiation burn seen in healthcare settings. |
front 10 Samantha works with caustic substances. She accidentally spills an acidic agent on her arms and is taken to the burn unit for treatment. | back 10 Chemical=The three subclasses of chemical burns include acids, alkaline, and organic compounds. Some examples of chemical burns include those caused by cement, gasoline, lime, hydrofluoric acid, and bleach. Other types of burns include thermal, radiation, and electrical. |