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NUR 185 EXAM 2 UPDATED ACTUAL
EXAM WITH CORRECT SOLUTIONS.
STAGES OF BURNS - correct answer- stage 1 emergent stage 2 acute stage 3 rehab
stage 1 emergent phase - correct answer- -onset first 12-48 hrs -hypovolemic shock -hyperkalemia, oliguric -cardiac dysrhythmia -acute renal failure
stage 2 acute phase - correct answer- -first 48-72 hrs -circulatory overload -hypokalemia -polyuria -chf
stage 3 rehab phase - correct answer- -prevent infection -return pt to normal state 1 / 2
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-help pt cope with self esteem/appearance
stage 1 emergent phase interventions - correct answer- -airway o2 ET tube -LR -foley/i&o -ng tube -analgesics -vital signs -tetanus toxoid
stage 2 acute phase interventions - correct answer- -monitor fluid shifts -monitor urine output -treat burns -prevent renal failure -prevent hf -prevent curling's/duodenal ulcers -prevent contractures
1st degree burn - correct answer- -superficial -dry w/o vesicles
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