https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n\n\n\nwhose most likely at risk for burns
men 2x<\/p>\n\n\n\n
what percentage of burns occur at home
73<\/p>\n\n\n\n
who is at isk for morbidity due to burns
geriatrics
pediatrics<\/p>\n\n\n\n
burn education
monitor kids in bath
outlet covers
fireplace enclosures
table clothes can cause easy spills<\/p>\n\n\n\n
first degree burn
superficial
sunburn<\/p>\n\n\n\n
second degree burn
entire epidermis some dermis
painful
blisters<\/p>\n\n\n\n
third degree burn
total destruction of epidermis, dermis, and underlying tissue
lack of sensation<\/p>\n\n\n\n
fourth degree burn
Deep burn necrosis
extends into deep tissue, muscle, or bon<\/p>\n\n\n\n
Injuries that affect >20% ofTBSA are considered
severe<\/p>\n\n\n\n
describe the placement and percentage of the rule of nines
Head 9%
anterior trunk 18%
posterior trunk 18%
genitalia 1%
arms 9%
legs 18%<\/p>\n\n\n\n
effects of major burns
face neck upper extremity burns : inhalation of smoke \/ heat
electrolyte shifts<\/p>\n\n\n\n
what test assess carbon monoxide poisoning
carboxyhemoglobin<\/p>\n\n\n\n
whats CM of carbon monoxide poisoning
fever
headache
dizzy
NV
bright pink lips
“sut” black sputum<\/p>\n\n\n\n
Emergent or resuscitativephase
onset of injury – fluid resuscitation<\/p>\n\n\n\n
how to ensure a patent airway in burn victim
give humidified 100% O2<\/p>\n\n\n\n
Acute or intermediate phase
beginning or diuresis – wound closure
48-72
Management of shock: maintain BP, urine output 30-50mL, maintain serum sodium<\/p>\n\n\n\n
Rehabilitation phase
wound closure – return to optimal phsyical \/ psychosocial<\/p>\n\n\n\n
what type of burn can cause hematuria
electrical<\/p>\n\n\n\n
what must be continuously assessed in but pt
continuously assess airway breathing<\/p>\n\n\n\n
what electrolytes are shifted in burn pt
hyerkalemia -initial
hyponatremia -later
metabolic acidosis
Elevated hematocrit -initial
Decrease platelets and increased clotting time -initial<\/p>\n\n\n\n
What fluid resuscitation should be used for thermal or chemical burns
2mL LR \/kg\/% TBSA
(only 2nd 3rd 4th degree burns)<\/p>\n\n\n\n
What fluid resuscitation should be used for electrical burns
4mL LR \/ kg\/ %TBSA
(only 2nd 3rd 4th degree burns)<\/p>\n\n\n\n
how are the infusions regulated on burn pts
1\/2 of the vol within 8 hours of injury (injury time NOT who they got to hospital)
rest within 16hours of injury<\/p>\n\n\n\n
How often must the patient’ s response to fluid therapy be evaluated
q1hr<\/p>\n\n\n\n
what topical agents are used in burn pt
silvadine
antibiotic ointment<\/p>\n\n\n\n
explain how the dressing should be applied to burn pt
wrap each phalange single and then all together
dont wrap tight<\/p>\n\n\n\n
what burns need graphs
deep partial
full thickness
(decreases risk of infection, prevent further loss of protein fluid electrolytes)<\/p>\n\n\n\n
whats an Autograft
ideal graph
from pts own skin<\/p>\n\n\n\n
Homograft
donated skin from deceased or living<\/p>\n\n\n\n
Xenograft
skin from animals – usually a pig<\/p>\n\n\n\n
how long should the dressings be on the new graph until change?
3-5 days<\/p>\n\n\n\n
burn pt edu for prevention of infection
limited visitors – may need full PPE
no fresh fruit and flowers
sterile procedures
tubes \/lines are only ok for 24hours – then need change<\/p>\n\n\n\n
whats the number 1 route for pain relief in burn pt
IV<\/p>\n\n\n\n
Morphine & Fentanyl are commonly used in burn pt, what needs to be monitored
respiratory and constipation<\/p>\n\n\n\n
A client with a superficial partial-thickness solar burn (sunburn)of the chest, back, face, and arms is seen in urgent care. Thenurse’s primary concern should be
pain management<\/p>\n\n\n\n
when should nutrition be administered to burn pt
ASAP
high protein high cal
pt not eating well : ask what you like to eat<\/p>\n\n\n\n
nursing implementations for Psychosocial Support
talk to how they feel
promote body image
talk to patient during dressing changes<\/p>\n\n\n\n
follow up care for burn pts
early ambulation (prevent pneumonia and DVT)
have family pt demonstrate wound care
compression garments\/wraps promotes circulation
pain meds q 30 mins
intact blisters<\/p>\n\n\n\n
average time between HIV + test and AIDS is
8-10 years<\/p>\n\n\n\n
period from infection of HIV and development of HIV antibodies for
3 months<\/p>\n\n\n\n
what cells does HIV target
CD4<\/p>\n\n\n\n
Reverse Transcriptase
changes RNA to DNA<\/p>\n\n\n\n
who is at risk for HIV
breastfed infants or birth of HIV+ mom
Bisexual men
IV drug users<\/p>\n\n\n\n
what edu should be given for prevention of HIV
condoms
needle exchange
behavioral interventions
avoid sharing needles
antiviral medications within 72hours of exposure (2-3 rx for 28 days)<\/p>\n\n\n\n
if an RN has a needle stick, what should they do first
inform their manager<\/p>\n\n\n\n
Antiretroviral medications aspostexposure prophylaxis forhealth care workers arestarted within how manyhours of exposure?
72<\/p>\n\n\n\n
stage 0 HIV
early HIV<\/p>\n\n\n\n
stage 1 of HIV
Primary\/acute
Period from infection with HIV to the development of HIV-specific antibodies
CD4+ T-cell counts normally 500 to1500 cells\/mm3 of blood<\/p>\n\n\n\n
how many stages of HIV are there
5<\/p>\n\n\n\n
Stage 2 HIV
t lymphocytes between 200-499<\/p>\n\n\n\n
Stage 3 HIV
CD4 count below 200 cells
considered to have AIDS<\/p>\n\n\n\n
stage unknown HIV
no info on CD4 count<\/p>\n\n\n\n
how do we treat immune Reconstitution InflammatorySyndrome (IRIS) in HIV pt’s
steroids<\/p>\n\n\n\n
Kaposi’s Sarcoma
cancer caused by herpes virus
TX: antibiotic or anti-tumor therapy (usually daunorubicin)<\/p>\n\n\n\n
what to monitor w pt on daunorubicin
monitor liver labs
so if liver enzymes are high: we cut dose in half<\/p>\n\n\n\n
CM of HIV
asymptomatic in stage 1 or skin rash
SOB dyspnea chest pain cough TB pneumonia
NV
anorexia
dirrhea
oral candidiasis<\/p>\n\n\n\n
what do we put TB pt on w\/ HIV
rifampin
could be in combo w\/ other drugs<\/p>\n\n\n\n
what do we put pneumonia pt on w\/ HIV
bactin<\/p>\n\n\n\n
when does capos sarcoma usually occur
in stage 3<\/p>\n\n\n\n
Tx of HIV AIDS
Antiretroviral therapy
combo of 2+ rx<\/p>\n\n\n\n
who would be on mono therapy for HIV pt
pregnant woman
(zidovudine: hepatic toxic)
monitor clotting and bleeding: pancytopenia<\/p>\n\n\n\n
what test can indicate the extent or stage of HIV
CD4
increase in CD4= getting better on RX<\/p>\n\n\n\n
what do HIV pt need to avoid
no raw food
fully cooked steak
bird cages and cat litter
sick people
avoid bowl irritants – spicy food, alc, fried food, nuts<\/p>\n\n\n\n
nutritional diet for HIV pt
ensure \/ boost
no raw food
well done stk
avoid bowl irritants – spicy food, alc, fried food, nuts<\/p>\n\n\n\n
Which of the following is a clinical syndrome that is characterized by a progressive decline in cognitive, behavioral, and motor functions as a direct result ofHIV infection?
HIV encephalopathy<\/p>\n","protected":false},"excerpt":{"rendered":"
Exam 4: NSG233\/ NSG 233 (Latest 2023\/ 2024 Update) Med Surg 3 Exam| Questions and Verified Answers| 100% Correct| Grade A- Herzing Exam 4: NSG233\/ NSG 233 (Latest 2023\/2024 Update) Med Surg 3 Exam| Questionsand Verified Answers| 100% Correct| GradeA- HerzingQ: describe the placement and percentage of the rule of ninesAnswer:Head 9%anterior trunk 18%posterior trunk […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-131277","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/131277","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=131277"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/131277\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=131277"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=131277"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=131277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}