NCM106 ACUTE BIOLOGIC CRISIS

FINAL EXAMINATIONS

1. Discuss concisely why do first- and second-degree burns produces

more pain sensation than third- and fourth-degree burns.
2. What burn zone needs to be debrided and why?
3. Discuss why a burn patient experiences shock during the emergent
phase.
4. Discuss why a burn patient eventually becomes polyuric.
5. Give at least 2 nursing interventions to patients in fluid accumulation
phase and provide its rationale.
6. Give at least 2 nursing interventions to patients in diuretic phase and
provide its rationale.
7. Patient B, 50 kg, went to the emergency room and complained thirst
and added that he had suffered burns over his anterior thorax and
face. Upon assessment, you have noticed that indeed the patient has
burns of first-degree.
a. What is the TBSA of the burned parts?
b. How many ml would you expect the physician will order if an IV
fluid is ACTUALLY indicated to the patient?
i. How many ml would you give during the first 8 hours?
ii. How many ml would you give during the second 8 hours?
iii. How many ml would you give during the third 8 hours?
c. As a prudent nurse, what would be your action if the physician
orders initiation of IV fluids to patient B?
8. In providing wound care to burn patient, when is open method and
closed method applicable?
9. Why is the burn patient at risk for infection?
10. What is the difference between Surgical Debridement and
Mechanical Debridement? Give at least 2 distinction.
11. Patient C incurred a third- to fourth degree burn on his forearm. Give at
least 3 nursing diagnosis and arrange them by priority.