The nurse is planning care for a client in the acute stage of a ...

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The nurse is planning care for a client in the acute stage of a burn injury. Based on this data, the nurse will include interventions in the plan of care that address which areas?
 
  Select all that apply.
  A) Nutrition
  B) Psychosocial support
  C) Pain management
  D) Fluid resuscitation
  E) Wound care

Question 2

A client who sustained burns to both lower extremities complains to the nurse about feeling frustrated by not being able to provide self-care. Which nursing diagnosis would be appropriate for the client at this time?
 
  A) Ineffective Coping
  B) Powerlessness
  C) Anxiety
  D) Situational Low Self-Esteem

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Answer to Question 1

Answer: A, C, E

Nursing care for the client during the acute stage of burn injuries will include wound care, nutritional therapy, and pain management. Fluid resuscitation occurs during the emergency phase of burn care. Psychosocial support will be needed once the client has stabilized.

Answer to Question 2

Answer: B

The client is expressing frustration over not being able to provide self-care. The nursing diagnosis most appropriate for the client at this time would be Powerlessness. There is not enough information to determine whether the client is or is not experiencing situational low-self-esteem, ineffective coping, or anxiety.