Author Question: A nurse cares for an older client with burn injuries. Which age-related changes are paired ... (Read 93 times)

Sportsfan2111 · **on:** Jun 25, 2018

A nurse cares for an older client with burn injuries. Which age-related changes are paired appropriately with their complications from the burn injuries? (Select all that apply.)

a. Slower healing time - Increased risk for loss of function from contracture formation
b. Reduced inflammatory response - Deep partial-thickness wound with minimal exposure
c. Reduced thoracic compliance - Increased risk for atelectasis
d. High incidence of cardiac impairments - Increased risk for acute kidney injury
e. Thinner skin - May not exhibit a fever when infection is present

Question 2

A nurse cares for a client with burn injuries who is experiencing anxiety and pain. Which nonpharmacologic comfort measures should the nurse implement? (Select all that apply.)

a. Music as a distraction
b. Tactile stimulation
c. Massage to injury sites
d. Cold compresses
e. Increasing client control

peilian · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A, C, D
Slower healing time will place the older adult client at risk for loss of function from contracture formation due to the length of time needed for the client to heal. A pre-existing cardiac impairment increases risk for acute kidney injury from decreased renal blood flow, and reduced thoracic compliance places the client at risk for atelectasis. Reduced inflammatory response places the client at risk for infection without a normal response, including fever. Clients with thinned skin are at greater risk for deeper wounds from minimal exposure.

Answer to Question 2

ANS: A, B, E
Nonpharmacologic comfort measures for clients with burn injuries include music therapy, tactile stimulation, massaging unburned areas, warm compresses, and increasing client control.