SNLE Question Discussion -Training4Nurse Academy

اقدم لكم متابعي وطلابي الكرام مجموعة قيمة جدا من الاسئلة والمعلومات حول موضوع الحروق

أ.عمر حماد

Question 1 : A client is admitted to the emergency room with partial-thickness burns to his right arm and full thickness burns to his trunk . According to the Rule of Nines , the nurse calculates the total body surface area (TBSA)involved as :

A-20%

B-35%

C-45%

D-60%

Correct Answer : According to the rule of Ninees ,the arm (9%)+ the trunk (36%)=45 %


Remember

head & neck =9%

right arm = 9%

left arm = 9%


torso front
TOTAL FRONT TORSO 18% :
chest 9%
abdomen 9%


back torso
TOTAL BACK TORSO 18% :
upper back 9%
lower back 9%


right leg
TOTAL right LEG 18% :
front 9%
back 9%


left leg
TOTAL left LEG 18% :
front 9%
back 9%

genetalia = 1%

Question 2 :A client is admitted with burns of the right arm, ِAnterior chest, and head. According to the Rule of Nines, the percent of burn injury is:

A-18%

B-27%

C-36%

D-45%

Correct Answer : 27%

Burn injury of the arm (9%), chest (9%), and head (9%)
accounts for burns covering 27% of the total body surface area. 

Question 3 : A client is admitted to the emergency room with partial-thickness burns of his head and both arms. According to the Rule of Nines, the nurse calculates that the TBSA (total body surface area) involved is:

A-20%

B-27%

C-35%

D-50%

Correct Answer : 27%

Answer B is correct. 

According to the Rule of Nines, the arms (18%) + the head (9%)= 27% TBSA burn injury. 

Question 4 :The adult client was burned as a result of an explosion. The burn initially affected the client's entire face (anterior half of the head) and the upper half of the anterior torso, and there were circumferential burns to the lower half of both arms. The client's clothes caught on fire, and the client ran, causing subsequent burn injuries to the posterior surface of the head and the upper half of the posterior torso.

Using the rule of nines, what would be the extent of the burn injury?

A-18%

B-24%

C-36%

D-48%

Correct Answer : 36%

anterior head = 4.5%, upper half of anterior torso(anterior chest ) = 9%, lower half of both arms is 9%, posterior head 4.5%, upper half of posterior torso(posterior chest ) 9%, total 36%

Question 5 : A patient with severe burns has fluid replacement ordered using the Parkland formula. The initial rate of administration is 1050 ml/hr. The nurse would expect that 18 hours after the burn occurred, the rate of the fluid administration should be _____ ml/hr.

A-263

B-350

C-525

D-1050

Correct Answer: 525

PARKLAND RESUSCITATION FORMULA = 4 mL LR X % TBSA burned


HOW TO DIVIDE/ADMINISTER TOTAL RESUSCITATION FLUID within FIRST 24 hrs (per Parkland formula)

1st 8 hrs from time of burn: give 1 / 2 total resuscitation volume

2nd 8 hours from time of burn: give 1 / 4 total resuscitation volume

3rd 8 hours from time of burn:  give 1 / 4 total resuscitation volume