A client is admitted with a burn injury that involves the epidermis and part of the dermis. The nurse knows that this type of burn is classified as:
Superficial
Partial-thickness
Full-thickness
Deep partial-thickness
The Correct Answer is B
Answer: B
Partial-thickness burn is a burn that involves the epidermis and part of the dermis. It causes blisters, pain, and redness. It may heal spontaneously or require skin grafting depending on the depth and extent of the injury.
A. Superficial burn is a burn that involves only the epidermis. It causes erythema, mild pain, and no blisters. It heals within a few days without scarring.
C. Full-thickness burn is a burn that involves the epidermis, dermis, and underlying tissues such as fat, muscle, or bone. It causes charred, white, or black skin, no pain, and loss of sensation. It requires skin grafting and may result in scarring and contractures.
D. Deep partial-thickness burn is a burn that involves the epidermis and most of the dermis. It causes white or red skin, severe pain, and decreased sensation. It may heal slowly or require skin grafting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Answer: A.
Slough is dead tissue that is shed from the surface of the wound. It may be white, yellow, green, or brown in color and may have a soft, moist, or dry texture. It should be removed to promote wound healing.
B. Eschar is dead tissue that adheres to the surface of the wound. It may be black, brown, or tan in color and may have a hard, dry, or leathery texture. It may act as a natural barrier to infection in some cases, but it may also impair wound healing and circulation in others.
C. Granulation tissue is new tissue that forms in the base of the wound during healing. It is red or pink in color and has a shiny, moist, granular appearance. It indicates healthy wound healing and should be protected from trauma or infection.
D. Epithelial tissue is new tissue that forms over the granulation tissue during healing. It is pink or pale in color and has a thin, smooth, translucent appearance. It indicates the final stage of wound healing and should be moisturized and protected from sun exposure.
Correct Answer is B
Explanation
Answer: B
The wound has decreased in drainage is an outcome that would indicate that NPWT is successful. NPWT is a type of therapy that uses a vacuum device to apply negative pressure to the wound, which removes excess fluid, debris, and infectious material from the wound bed. This reduces edema, inflammation, and bacterial load, and promotes blood flow, oxygenation, and granulation tissue formation.
A. The wound has increased in size is an outcome that would indicate that NPWT is unsuccessful or harmful. NPWT should not cause wound enlargement, as this may indicate tissue damage, infection, or poor healing.
C. The wound has increased in pain is an outcome that would indicate that NPWT is unsuccessful or harmful. NPWT should not cause excessive pain, as this may indicate tissue damage, infection, or poor healing.
D. The wound has decreased in granulation tissue is an outcome that would indicate that NPWT is unsuccessful or harmful. NPWT should promote granulation tissue formation, as this indicates healthy wound healing.
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