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MS: INTEGUMENTARY SYSTEM-J9-212

Compiled by: Professor Jobert Dulay, Professor Rey Philip Ferrer, Professor Noel Heherson Laciste & Professor Francis Adoracion Ramos

A 20 year old male student was rushed to the Emergency Room due to first and second degree burns in the different parts of the body as his dormitory got damaged by fire as a result of faulty electrical connections. 1. As an ER nurse, it is very important to develop competent skills in assessment. Based on the Rule of Nines, the upper extremities are equivalent to: a. 1% c. 36%

b. 9%

d. 18%

2. Prophylactic treatment was prescribed for the prevention of complications. Which of the following would be administered to the patient for the said purpose? a. Povidone Iodine c. Sulfamylon b. Tetanus toxoid immunization d. Silver Nitrate 3. Since the patient suffered from massive breakdown in skin integrity, infection may occur among patients with burns. The antimicrobial of choice for burn injuries is: a. Povidone Iodine c. Mafenide acetate b. Tetanus toxoid d. Silver Nitrate

4. The patient asked the nurse to describe the manifestation if ever he sustained a 3rd degree burn. The nurse responded that the injury would be characterized by: a. blister c. b. redness d. pustule charring

5. During the first 48 hours after sustaining serious burn injuries, he may experience changes in urine elimination. How much urine output is expected if he is already experiencing oliguria? a. 100 400cc/24hr c. less than 1000cc/24hrs b. less than 50cc/24hrs d. 1000 4000cc/24hrs 6. The patient had first degree burns on the posterior trunk. This type of injury is usually characterized with a manifestation such as: a. charring c. blister b. redness d. pustule 7. Close monitoring of the patient who sustained burn injuries is very critical especially during the first 24 hours. All of these conditions are associated dangers among patients with burns, except: a. Circulatory shock c. Dehydration

b. Acute inflammation d. Electrolyte imbalance 8. When planning nursing care for the patient, it is important for the nurse to carefully consider his nutritional status. Diet recommended for a person recovering from burn injuries is: a. low fat, low sodium c. high calorie, high protein b. low calorie, low protein d. NPO
A two-year old boy was rushed to the hospital after his home was gutted by fire along with several other houses in their neighborhood. He sustained second degree burns in the right thigh. 9. This type of burn injury is usually characterized by: a. charring c. b. redness d. pustules blisters

10. In case of 3rd degree burns, the injury would involve: a. epidermis only c. epidermis and upper half of dermis only b. full thickness of the skin d. dermis only 11. In comparison, the ER nurse must be aware that a second degree burn injury would only affect the: a. epidermis c. epidermis and upper half of dermis b. full thickness of the skin d. dermis

12. In assessing patients with burn injuries, all of the following conditions are considered critical, except:
a. burns in face, fingers, toes, genitalia c. b. burns in elderly, children 20% of body has 2nd degree burn d. Burns with fractures

The R.A Gapuz Review Center Inc. makes no representations about the accuracy, authenticity, and reliability of this compilation. It declaims any and all responsibility or liability for plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation and compilation thereof such being sole responsibility of the reviewer concerned. This disclaimer serves as a notice to the public that R. A. Gapuz Review Center Inc. shall not be liable for any complaints, actions or suits in connection with the contents of the materials of this compilation.

13. Which manifestations would make the nurse suspect that the he is highly at risk for respiratory complications? a. Decreased blood volume c. blisters and swelling

b. singed hair and eyebrows d. edema and redness 14. About 30 minutes prior to the administration of Sulfamylon to a patient with burns, the nurse must provide which medication? a. anti-inflammatory c. antipyretic b. analgesic d. antibiotic
15. During the first 48 hours after sustaining burn injury, the patient initially is considered to be in which stage? a. anuric stage c. diuretic stage b. oliguric stage d. recovery stage 16. Generalized dehydration may occur among burn patients. During the first 24hours after admission, the doctor prescribed intravenous fluids to be administered using Evans formula. All of the following solutions may be administered to the patient, except: Lactated Ringers c. D5 3% NaCl b. Blood and plasma expanders d. D5 Water c. 17. In maintaining the fluid and electrolyte balance of the patient, it is important to for the nurse to regularly: a. perform blood gas analysis c. monitor the intake and output b. assess vital signs every shift d. administer diuretics

a.

A 65 year old former military officer who suffered from hemorrhagic stroke had been bedridden for several months as a result of left-sided hemiplegia. 18. Priority nursing diagnosis for this immobilized patient is: a. risk for tissue breakdown c. alteration in body image b. ineffective breathing pattern d. alteration in comfort 19. A nursing care plan was prepared for the patient. In order to provide enough source of energy supply and promote tissue repair, the diet should include just an adequate amount of: a. proteins and carbohydrates c. fruits and vegetables b. carbohydrates and fats d. vitamins and minerals 20. The wife of the patient asked the nurse what is an initial manifestation of bedsores. Which of the following is the most likely response: a. pallor c. bluish discoloration b. blanching d. redness 21. Which of the following complications most likely may occur as a result of poor nursing care provided to a patient with poor mobility: a. malnutrition c. dehydration b. septic shock d. contracture deformity A 28 year old female TV reality show star sought consultation at the dermatologists clinic with a chief complaint of recurrent red itchy skin lesions which also thickens into silvery and scale-like patches. 22. The most likely diagnosis of the patients condition is: a. vitiligo c. eczema b. psoriasis d. contact dermatitis 23. The cause of this common skin disorder is unknown, but certain predisposing factors that increases the risk of developing this condition had recently been identified. This includes: a. excessive alcohol intake c. history of skin infection b. smoking d. allergic reaction 24. Flare up of the above-mentioned chronic, non-contagious skin condition is usually related to: a. stress c. allergy b. infection d. none of the above 25. While doing the physical assessment, the nurse observed that the said inflammatory skin problem was least likely noted on the : a. knees c. elbows b. face d. scalp

The R.A Gapuz Review Center Inc. makes no representations about the accuracy, authenticity, and reliability of this compilation. It declaims any and all responsibility or liability for plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation and compilation thereof such being sole responsibility of the reviewer concerned. This disclaimer serves as a notice to the public that R. A. Gapuz Review Center Inc. shall not be liable for any complaints, actions or suits in connection with the contents of the materials of this compilation.

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