1.
A 42-year-old male patient was involved in a house fire. His arms are charred black but the patient states he has little pain. This burn would be classified as
Correct Answer
C. Full thickness
Explanation
Based on the information provided, the patient's arms being charred black and the patient stating he has little pain suggest that the burn is full thickness. Full thickness burns typically involve damage to all layers of the skin and can extend into the underlying tissues. The lack of pain may be due to nerve damage caused by the burn.
2.
Protection, temperature regulation, and excretion are major functions of the
Correct Answer
C. Skin
Explanation
The skin is responsible for protection as it acts as a barrier against harmful substances, UV radiation, and pathogens. It also helps regulate body temperature through the process of sweating and shivering. Additionally, the skin plays a role in excretion by eliminating waste products through sweat glands. Therefore, the skin is involved in all three major functions mentioned in the question.
3.
The outer layer of the skin is called the
Correct Answer
C. Epidermis
Explanation
The outer layer of the skin is called the epidermis. It is the topmost layer of the skin and acts as a protective barrier against external factors such as bacteria, UV radiation, and chemicals. The epidermis is made up of several layers of cells, including the outermost layer called the stratum corneum, which consists of dead skin cells that are constantly shed and replaced. This layer also contains melanocytes, which produce melanin, the pigment responsible for skin color.
4.
In an adult, a full thickness burn that involves 2% to 10% of the body surface is classified as
Correct Answer
B. Moderate burn
Explanation
A full thickness burn that involves 2% to 10% of the body surface is classified as a moderate burn. This means that the burn affects a significant portion of the body but is not considered life-threatening. Full thickness burns are severe burns that damage all layers of the skin and can cause tissue destruction. However, since the burn only covers a moderate percentage of the body surface, it is not classified as critical.
5.
You are called to assist a 3-year-old male patient who pulled a pot of hot water from the stove spilling hot it onto their upper chest. The skin is red and painful, but no other signs or symptoms are present. This childs burn would be classified as
Correct Answer
C. Superficial
Explanation
The burn would be classified as superficial because the skin is red and painful, but there are no other signs or symptoms present. Superficial burns only affect the top layer of the skin and usually heal within a week without scarring.
6.
A burn characterized by intense pain, reddening, and blisters is called a
Correct Answer
B. Partial thickness burn
Explanation
A burn characterized by intense pain, reddening, and blisters is called a partial thickness burn. This type of burn affects the outer layer of the skin (epidermis) and the underlying layer (dermis) to varying degrees. The symptoms of intense pain, reddening, and blister formation indicate damage to both layers of the skin. However, the burn does not extend through the entire thickness of the skin, which is why it is classified as a partial thickness burn.
7.
Acceptable care for a 7% superficial burn may include all of the following EXCEPT
Correct Answer
C. Apply a burn ointment
Explanation
The correct answer is to apply a burn ointment. Applying a burn ointment is not recommended for superficial burns as it can trap heat and worsen the burn. Instead, cooling the burn with water, keeping the patient warm, and keeping the burn site clean are all acceptable care measures for a 7% superficial burn.
8.
Blisters should be cared for by
Correct Answer
D. Leaving intact and covering loosely
Explanation
Leaving blisters intact and covering them loosely is the correct way to care for them. This is because blisters act as a natural barrier against infection and further damage. Opening and draining the blister may increase the risk of infection. Sealing with burn ointment or opening and disinfecting the blister can also hinder the healing process and increase the risk of infection. Therefore, leaving the blister intact and covering it loosely allows for proper healing and protection.
9.
Your first concern in treating a conscious patient who has received partial thickness burns to the face is treating
Correct Answer
D. Airway related problems
Explanation
When a conscious patient has received partial thickness burns to the face, the first concern in treatment should be addressing airway related problems. Burns to the face can cause swelling and inflammation, which can potentially obstruct the patient's airway. Therefore, ensuring that the patient's airway is clear and unobstructed is of utmost importance. This may involve providing oxygen, suctioning the airway if necessary, and closely monitoring the patient's breathing and respiratory function.
10.
Your patient has been exposed to an unknown chemical which has soaked his clothing. You should immediately flush the patient with
Correct Answer
A. Water
Explanation
When a patient has been exposed to an unknown chemical, the immediate action should be to flush the patient with water. Water helps to dilute and remove the chemical from the patient's skin, reducing the risk of further absorption or injury. Alcohol, neutralizing solution, and vinegar may not be effective or appropriate in this situation as they may react with the chemical or cause further harm to the patient.
11.
The most serious problem to consider with an electrical burn is
Correct Answer
D. Cardiac dysrhythmia/arrest
Explanation
An electrical burn can cause damage to the heart and disrupt its normal rhythm, leading to cardiac dysrhythmia or even cardiac arrest. This is because the electrical current can interfere with the electrical signals that regulate the heartbeat. Therefore, cardiac dysrhythmia or arrest is the most serious problem to consider with an electrical burn.
12.
A superficial burn is characterized by
Correct Answer
C. Reddening of the skin
Explanation
A superficial burn is characterized by reddening of the skin. This means that the skin appears red in color, indicating mild damage to the outermost layer of the skin. Unlike deeper burns, superficial burns do not cause charred black areas or blisters. Additionally, superficial burns are typically not as painful as deeper burns. Therefore, the presence of reddening of the skin is a key characteristic of a superficial burn.