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21) For which of the following burn patients could you use local cooling? A) An 18-month-old child with partial- and full-thickness scald burns on both lower extremities, buttocks, genitalia, and lower abdomen B) A 19-year-old female with approximately 40 percent superficial and 45 percent partial-thickness burns from sunbathing C) A 15-year-old male with partial-thickness burns of his left upper extremity, anterior chest, and neck resulting from playing with gasoline and matches D) A 52-year-old male with a 1-inch-wide, full-thickness burn across the entire width of the palm of his right hand resulting from picking up a hot grate from a barbecue grill 22) A burn patient who has signs and symptoms of inhalation injury with associated respiratory compromise should be classified as: A) Serious B) Moderate C) Critical D) Minor 23) You are assessing a 17-year-old male patient with a burn on the lateral aspect of his thigh. Which of the following guidelines is most helpful when estimating the percentage of total body surface area involved? A) The Rule of Palms B) The Parkland formula C) The Rule of Nines D) The modified pediatric Rule of Nines 24) Which of the following is TRUE of the heat generated when electricity flows through the body? A) Dry skin offers less resistance to electricity, generating more heat. B) Wet skin offers less resistance to electricity, generating more heat. C) Wet skin offers greater resistance to electricity, generating more heat. D) Dry skin offers more resistance to electricity, generating more heat. 25) Cool-water immersion of a burned part effectively reduces burning only when done within which of the following time frames? A) The first 24 hours B) The first 10 to 15 minutes C) The first 1 to 2 minutes D) The first hour 26) Paralysis of the muscles of respiration may occur when there is body contact with electrical currents as low as ________ mA. A) 50 B) 100 C) 20 D) 5 27) The first step for treating a patient who has been contaminated with dry lime is to: A) Neutralize the lime with a mild acidic solution, such as vinegar and water B) Brush away as much of the powder as possible C) Flush the skin with large amounts of isopropyl alcohol D) Flush with copious amounts of tepid water 28) Which of the following best describes the pathophysiology of most burns to the human body? A) Heat causes evaporation of water and denatures protein. B) Radiation, including solar radiation and radiant heat, alters cell structures. C) Chemicals cause an endothermic reaction that destroys tissue. D) The skin, and sometimes deeper tissues, are destroyed through combustion. 29) Which of the following represents the modified body surface area percentages in the “Rule of Nines” for pediatric patients? A) Posterior chest is 7 percent. B) Upper extremities are 13.5 percent each. C) External genitalia is 1 percent. D) Lower extremities are 13.5 percent each. 30) The voltage of a bolt of lightning may be as much as ________ volts, and its temperature may reach ________° Fahrenheit. A) 5,000; 150,000 B) 150,000; 5,000 C) 50,000; 100,000 D) 100,000; 50,000

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