Examl 2:l NUR185/l NURl 185l (Latestl
2025/l 2026l Update)l Conceptsl ofl Adultl Healthl Nursingl forl thel Practicall Nursel IIl Guide|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l Hondros
Q:l Rulel ofl Ninesl (Adult)
Answer:
Headl andl Neck:l 9%l ofl thel bodyl surfacel area
Eachl Arm:l 9%l ofl thel bodyl surfacel area
Eachl Leg:l 18%l ofl thel bodyl surfacel areal (9%l forl thel frontl andl 9%l forl thel back)
Thel Frontl ofl thel Torso:l 18%l ofl thel bodyl surfacel area
Thel Backl ofl thel Torso:l 18%l ofl thel bodyl surfacel area
Thel Perineum:l 1%l ofl thel bodyl surfacel area
Q:l Bauxl Score
Answer:
Usedl tol estimatel thel severityl ofl burnl injuriesl &l predictl mortalityl riskl basedl onl thel extentl ofl thel burnl andl thel patient'sl age.-l Bauxl Scorel =l Agel +l TBSA -l Agel isl thel patient'sl agel inl years.-l TBSAl isl thel totall bodyl surfacel areal affectedl byl burns,l expressedl asl al percentage.
-l Ex.l Calculation:
Ifl al 35-year-oldl patientl hasl burnsl coveringl 25%l ofl theirl body:
Agel =l 35l years TBSAl =l 25% Bauxl Scorel =l 35l +l 25l +l 17l (inhalationl injury)l =l 77 1 / 3
*Higherl scoresl generallyl indicatel al greaterl riskl ofl death* SCOREl OVERl 140l ISl CONSIDEREDl NONSURVIORABLE l -l Scoresl ofl 40-60l mightl indicatel al moderatel risk.-l Scoresl abovel 60l arel oftenl associatedl withl al higherl riskl ofl mortality.
Q:l Superficiall Burn
Answer:
1stl degreel Burnl -l Pink/Redness -l Erythema -l Mild/minimall pain -l Dry -l Nol vesiclesl (blisters) -l Blanchesl (Pressuredl appliedl tol thel burnl areal &l skinl temporarilyl turnsl whitel (blanches)l &l thenl returnsl tol itsl normall colorl whenl thel pressurel isl released.l Indicatingl thatl thel burnl isl likelyl al superficiall burn -l Outerl layerl ofl thel skinl (thel epidermis) *Thinkl sunburn*
Q:l Partiall Thicknessl Burn
Answer:
2ndl Degreel Burn -l Largel Moistl vesiclesl (blisters) -l Moderatel tol Veryl Painful -l Affectl thel outerl &l somel ofl thel underlyingl dermis.l Skinl mayl appearl red,l blistered,l &l moist.l Thel presencel ofl blistersl mightl complicatel thisl assessment.-l Non-Blanching:l Ifl thel burnl areal doesl notl blanchl (i.e.,l thel skinl remainsl redl orl darkl andl doesl notl returnl tol itsl normall colorl afterl pressurel isl applied),l itl mayl suggestl al deepl partial-thicknessl (second-degree) -l Mottledl appearance
Q:l Fulll Thicknessl Burn 2 / 3
Answer:
3rdl Degreel Burn -l Dry,l charred,l leathery -l White,l black,l brown -l Littlel tol nol pain -l Downl tol thel dermisl intol thel SUBQl -l Typically,l doesl notl blanch
Q:l R.A.C.E.
Answer:
Rescue Activatel alarm Contain Extinguish/Evacuate
Q:l Duringl Emergentl phasel ofl burns,l whatl acid-basel imbalancel isl thel patientl atl riskl for?
Answer:
Metabolicl Acidosisl =l Hyperkalemia
Q:l Nursingl Interventionsl tol Carel forl Skinl Grafts
Answer:
-l Assessl forl bleeding,l 3-7l daysl ofl immobilizationl forl attachmentl ofl thel graftl ensured,l afterl 24hrsl thel surgicall dressingsl arel DC'dl tol allowl airl dryl -l letl thel xeroforml orl fine- mesh-gauzel comel offl naturally -l Split-thickness:l leavesl behindl enoughl ofl thel dermisl forl thel donorl sitel tol heall byl re- epithelializationl (processl yourl skinl goesl throughl tol heall andl coverl upl al wound)
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