Question 1

The immediate management of a thermal burn victim once the fire has been extinguished is to&#10;A) cover with blankets to prevent shock.&#10;B) monitor for signs of respiratory impairment.&#10;C) apply lubricant to the burn area.&#10;D) start an IV line.

Accepted Answer

Excessive heat to the respiratory tract could result in obstruction; therefore,respiratory status is the main priority.Do not cover with blankets,as this will prevent underlying heat from escaping.Do not apply anything but water to a burn.An IV line may be started after management of respiratory status.

Question 2

Burn shock is the direct result of&#10;A) hypovolemia.&#10;B) cardiac depression.&#10;C) infection.&#10;D) increased capillary permeability.

Accepted Answer

Burn shock results from systemic capillary permeability with leakage of fluids throughout all tissues; the result is massive edema.Hypovolemia is not the direct cause of burn shock.Burn shock does not result from cardiac depression or infection.

Question 3

The first priority when rescuing a burned individual is&#10;A) establishing a patent airway.&#10;B) removing his or her clothing.&#10;C) eliminating the source of the burn.&#10;D) covering the wounds with wet sheets.

Accepted Answer

The first priority in rescuing a burned individual is eliminating the source of the burn.The next priority is to establish a patent airway.Removing the clothing is not recommended; however,dry,clean sheets or dressings should be placed over the burns.Covering the wound is not advised,as this may cause hypothermia.

Question 4

It is true that covering a burn with cool wet sheets&#10;A) promotes comfort.&#10;B) facilitates healing.&#10;C) prevents fluid loss.&#10;D) promotes hypothermia.

Accepted Answer

Cool wet sheets quickly become cold wet sheets that promote hypothermia as the skin's ability to regulate body temperature is lost.Although cool wet sheets may initially promote comfort,they may be the cause of hypothermia the longer the sheets remain in contact with the burned skin.Cool wet sheets do not facilitate burn healing or prevent fluid loss.

Question 5

The primary aim of burn wound management is to prevent&#10;A) trauma to burned tissue.&#10;B) microbial colonization of the wound.&#10;C) the wound from drying out.&#10;D) premature wound closure.

Accepted Answer

The primary aim of burn wound management is to prevent microbial colonization of the wound.A goal of wound management is to minimize further destruction of viable tissue.It is not possible to prevent the trauma after injury,since it has already occurred.Keeping the wound dry is not a primary aim of burn wound management.Preventing premature wound closure is not a goal of burn wound management.

Question 6

The third element essential to survival after major burn injury is&#10;A) excision of the burn followed by skin grafting.&#10;B) frequent wound debridement to encourage wound healing.&#10;C) hyperbaric oxygen therapy.&#10;D) continuous topical antibiotic therapy.

Accepted Answer

The third element essential to survival after major burn injury is excision of the burn followed by skin grafting.Frequent wound debridement,hyperbaric oxygen therapy,and continuous topical antibiotic therapy are not the third element essential to survival after major burn injury.

Question 7

The majority of electrical burns in children are caused by&#10;A) playing with electrical outlets.&#10;B) playing with defective electrical cords.&#10;C) biting on extension cords.&#10;D) putting fingers in electrical sockets.

Accepted Answer

The majority of electrical burns in children are caused by biting on extension cords.Playing with electrical outlets,playing with defective electrical cords,and putting fingers in electrical sockets are not the causes of the majority of electrical burns in children.

Question 8

It is true that second-degree,superficial partial-thickness burns&#10;A) are less painful than third-degree burns.&#10;B) involve only the epidermis.&#10;C) usually heal in 7 to 21 days.&#10;D) are rarely associated with scar formation.

Accepted Answer

Second-degree,superficial partial-thickness burns usually heal in 7 to 21 days.Second-degree burns are more painful than third-degree burns,involve damage to the dermis,and can be associated with scar formation.

Question 9

Electrical injury may cause extensive damage to low-resistance tissues,particularly&#10;A) bone and muscle.&#10;B) nerves and blood vessels.&#10;C) epidermis.&#10;D) dermis and subcutaneous tissue.

Accepted Answer

Electrical injury may cause extensive damage to low-resistance tissues,particularly nerves and blood vessels.Bone and muscle,and dermis and subcutaneous tissue,are not low-resistance tissues.Skin is a high-resistance tissue.

Question 10

The time between the end of burn shock and closure of the burn to less than 20% of total body surface area is called the ________ phase.&#10;A) postshock&#10;B) rehabilitation&#10;C) critical&#10;D) emergent

Accepted Answer

The time between the end of burn shock and closure of the burn to less than 20% of total body surface area is called the emergent phase.Postshock is not a phase of burn wound healing.The rehabilitation phase begins when the burn size is reduced to less than 20% TBSA and the patient is able to assume self-care.There is not a critical phase of burn wound healing.

Question 11

A necessary intervention when managing burns associated with automobile airbag injury include&#10;A) irrigation with water.&#10;B) application of steroid cream.&#10;C) IV infusion of antibiotics.&#10;D) debridement of skin.

Accepted Answer

The answer of A necessary intervention when managing burns associated...

Question 12

The most common cause of burn injuries in children is&#10;A) house fires.&#10;B) cigarette burns.&#10;C) scalding with hot water.&#10;D) contact with chemical agents.

Accepted Answer

The answer of The most common cause of burn injuries...

Question 13

The goal of nutritional support of the burned individual is to&#10;A) limit the glucose available to infectious organisms.&#10;B) create a positive nitrogen balance.&#10;C) protect the kidney from excessive protein intake.&#10;D) avoid hyperlipidemia.

Accepted Answer

The answer of The goal of nutritional support of the...

Deck 54: Burn Injuries