Author Question: The priority nursing diagnosis during the acute phase of burn injury for a child who has a ... (Read 91 times)

Chelseaamend · **on:** Jun 27, 2018

The priority nursing diagnosis during the acute phase of burn injury for a child who has a third-degree circumferential burn of the right arm would be

1. Risk for Infection.
2. Risk for Altered Tissue Perfusion.
3. Risk for Altered Nutrition:Less ThanBody Requirements.
4. Impaired Physical Mobility.

Question 2

The client has been diagnosed with hepatitis B. Which statement indicates to the nurse that the client needs more education? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply.

1. This infection could be sexually transmitted.
2. I might get jaundiced from this illness.
3. An immunization exists to prevent getting hepatitis B.
4. I might have gotten this infection from food.
5. The incubation period is 15-50 days.

karlss · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:2
Rationale: When the burn is circumferential,blood flow can become restricted due to edema and result in tissue hypoxia;therefore,the priority diagnosis is a Risk for Altered Tissue Perfusion to the extremity.Infection,nutrition,and mobility would have second priority in this case.

Answer to Question 2

4, 5
Explanation: 4. Hepatitis B is found in blood and body fluids, and therefore can be sexually transmitted. Hepatitis A and E are foodborne, and transmitted by fecal-oral contamination.
5. The incubation period for hepatitis B is 45-160 days.