This topic contains a solution. Click here to go to the answer

Author Question: When monitoring the vital signs of a patient who has sustained a major burn injury, the nurse ... (Read 99 times)

Coya19@aol.com

  • Hero Member
  • *****
  • Posts: 601
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.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

strudel15

  • Sr. Member
  • ****
  • Posts: 324
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.





 

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

Did you know?

Illness; diuretics; laxative abuse; hot weather; exercise; sweating; caffeine; alcoholic beverages; starvation diets; inadequate carbohydrate consumption; and diets high in protein, salt, or fiber can cause people to become dehydrated.

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

For a complete list of videos, visit our video library