When monitoring the vital signs of a patient who has sustained a ...

[Coya19@aol.com]

When monitoring the vital signs of a patient who has sustained a major burn injury, the nurse assesses a heart rate of 112. What should the nurse determine about this finding?
 
  1. This heart rate is normal for the patient's post-burn injury condition.
  2. The patient is demonstrating manifestations consistent with the onset of an infection.
  3. The patient is demonstrating manifestations consistent with an electrolyte imbalance.
  4. The patient is demonstrating manifestations consistent with renal failure.

Question 2

A patient is scheduled for surgery to graft a burn injury on the arm. Which statement should the nurse include when instructing the patient about the procedure?
 
  1. You will begin to perform exercises to promote flexibility and reduce contractures after 5 days.
  2. You will need to report any itching, as it might signal infection.
  3. Performing the procedure near the end of the hospitalization will reduce the incidence of infection and improve the chances of success.
  4. The procedure will be performed in your room.

[strudel15]

Answer to Question 1

Correct Answer: 1
The heart rate in a burn-injured patient is not considered tachycardia until it reaches 120 beats per minute. A heart rate of 112 in this patient does not indicate an infection, an electrolyte imbalance, or renal failure.

Answer to Question 2

Correct Answer: 1
The patient will begin to perform range-of-motion exercises after 5 days. Itching is not a symptom of infection but an anticipated sign of cellular growth. The ideal time to perform the procedure is early in the treatment of the burn injury. The procedure is performed in a surgical suite.

[Coya19@aol.com]

Thank you

[strudel15]

No problemo