Author Question: While working in the emergency department, the nurse plans care for the client admitted with a burn ... (Read 70 times)

melly21297 · **on:** Jul 22, 2018

While working in the emergency department, the nurse plans care for the client admitted with a burn injury. Which of the following areas will be included in the plan of care?

1. Fluid management
2. Nutrition
3. Psychosocial support
4. Fluid resuscitation

Question 2

The nurse is planning care for a client with osteoporosis and determines that imbalanced nutrition is a priority nursing diagnosis for this client based on which of the following statements made by the client?

1. I do not eat many dairy products..
2. I frequently take long walks in the sun..
3. I have removed all scatter rugs from my home..
4. My pain is relieved by Tylenol..

miss.ashley · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Fluid resuscitation

Rationale:
The nurse caring for the client during the emergent stage of burn injuries will be expected to administer intravenous fluids to meet the body's needs. Fluid management will take place in the burn unit or intensive care unit. Nutrition management will begin in the burn unit and continue throughout the client's care. Psychosocial support will be needed once the client has stabilized.

Answer to Question 2

1. I do not eat many dairy products..

Rationale:
The client states that she does not take in much calcium, so focusing on diet would be a priority for this client. The statements about taking long walks, removing scatter rugs, and taking acetaminophen (Tylenol) for pain would not elicit the nursing diagnosis imbalanced nutrition.