Burn Assessment is done by the Rule of -

Appeared in: UPPSC 2023

Explanation

The 'Rule of Nines' is a standardized method for rapidly estimating the Total Body Surface Area (TBSA) affected by burns in adults.
The body is divided into sections, each representing 9% or multiples of 9% of the TBSA, allowing for a quick assessment.
This estimation is a critical first step for calculating the amount of intravenous fluid replacement needed to prevent burn shock.
The percentages are: Head and neck (9%), each arm (9%), anterior trunk (18%), posterior trunk (18%), each leg (18%), and perineum (1%).

Option A: The number 6 is not used as a primary basis for any standard rapid burn assessment tool.
Option B: The number 5 is not a foundational percentage in the Rule of Nines for adult burn assessment.
Option C: The number 11 does not correspond to the standardized percentages used in the Rule of Nines.

Clinical Relevance

Nursing practice connection: Use the key finding related to Burn Assessment using the Rule of Nines to guide bedside assessment, documentation, and the next nursing action.
Accurate TBSA assessment using the Rule of Nines is a critical first step in managing moderate to severe burns, as it directly determines the volume of intravenous fluids needed for resuscitation.
The Parkland formula (4 mL × kg × %TBSA) is commonly used with the TBSA estimate to calculate fluid requirements for the first 24 hours, preventing life-threatening hypovolemic shock.
Nurses must monitor urine output (target 0.5-1 mL/kg/hr in adults) as the primary indicator of adequate fluid resuscitation.

How to Approach the Question

Identify the core concept: The question asks for the specific 'rule' used in burn assessment.
This is a factual recall question. Access your knowledge of emergency nursing and first aid.
Recall the common methods for estimating burn size. The most well-known rapid method for adults is the 'Rule of Nines'.
Evaluate the options provided. The numbers 6, 5, and 11 are not associated with this rule.
Select the option '9' as it is the basis for the 'Rule of Nines'.

Concept Tested & Keywords

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E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart A (pp 1-275 of 550) p. 178-180

E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 747-749

Practise the full UPPSC 2023

Attempt every question from this paper in a timed mock, then review the full solution for each one.