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Integumentary - NCLEX Review

AB
Percentages of the Rule of NinesHead 9% - Anterior trunk 18% -Posterior trunk 18% -Each arm circumferentially 9% -Each leg circumferentially 18% -Perineum 1%
What method of evaluating burn percentage would modify percentages according to age?Lund-Browder chart or Berkow classification
If a client has facial burns, this must be suspected also.smoke inhalation injury
Symptoms of smoke inhalation injury.swelling of oro- and naso-pharynx. singed nasal hairs, flaring nostrils, stridor, wheezing, dyspnea, hoarse voids, sooty (carbonaceous) sputum
What degree of carbon monoxide poisoning would show a reddish-purplish skin tone (cherry red) and tinnitus and vertigo?Moderate (21-40% blood level)
Burn victims need this because so much water is lost.Fluid resuscitation
Using the Parkland formula, how is fluid resuscitation calculated?4ml/kg/TBSA burn per 24-hour period; give half over 8 hours and the remaining half over 16 hours
Characteristic of a malignant melanoma lesion.Irregularly shaped lesion
Definitive diagnosis of herpes zoster.Culture of the lesion - to detect the varicella virus
Intervention for circumferential burns to extremities.Elevate above level of heart - need to keep tissue edema to a minimum
Initial treatment for suspected or actual carbon dioxide inhalation100% oxygen - at least get them outside
In this condition multiple straight or wavy threadlike lines are noted beneath the skin.Scabies
The most reliable indicator that fluid resuscitation in the burn patient is adequate.Urine output - should be 30-50 mlhr (all would play a part)
Which type of skin cancer is highly metastatic?Melanoma
How often should the body be inspected for signs of abnormalities?At least monthly
What condition am I? The skin becomes white or blue in color and also hard, cold, and insensitive to touch.Frostbite
Include this in PPE for scabies.Gowns and gloves - transmission is by direct skin contact
What is the therapeutic outcome of an escharotomy?Return of distal pulses - intense swelling will cause compartment syndrome, thus affecting circulation
When this part of the body is burned, a substantial amount of physical therapy is needed so as not to lose function.hands
This is a skin infection into the deeper dermis and the subcutaneous fat.Cellulitis


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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