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Nursing · NCLEX-RN

Burn and Integumentary Trauma Nursing

Burn classification, fluid resuscitation, and acute wound care priorities, distinct from the pressure-injury focus of the Wound Care and Pressure Injuries deck.

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What layer of skin does a superficial (first-degree) burn affect?
The epidermis only
What is a classic sign of a superficial partial-thickness (second-degree) burn?
Painful, moist, weeping skin with blisters
Why is a deep partial-thickness burn often less painful than a superficial partial-thickness burn?
Nerve endings in the deeper dermis have been damaged
What does a full-thickness (third-degree) burn typically look like?
Dry, leathery skin that appears white, brown, or black
Why is the center of a full-thickness burn painless?
The nerve endings at that site have been destroyed
What structures can a fourth-degree burn destroy beyond the skin?
Muscle, tendon, and bone
What is the Rule of Nines used to estimate?
The percent of total body surface area (TBSA) burned in an adult
In the adult Rule of Nines, what percentage of TBSA is assigned to the head and neck?
9%
In the adult Rule of Nines, what percentage of TBSA is assigned to each entire arm?
9%
In the adult Rule of Nines, what percentage of TBSA is assigned to the anterior trunk?
18%
In the adult Rule of Nines, what percentage of TBSA is assigned to the posterior trunk?
18%
In the adult Rule of Nines, what percentage of TBSA is assigned to each entire leg?
18%
In the adult Rule of Nines, what percentage of TBSA is assigned to the perineum?
1%
Why is the Lund-Browder chart preferred over the Rule of Nines for children?
It adjusts body surface area percentages for age-related body proportions
What formula estimates 24-hour IV fluid needs after a major burn?
The Parkland formula

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