The priority nursing diagnosis during the acute phase of burn ...

[Chelseaamend]

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]

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.

[Chelseaamend]

TYSM

[kusterl]

Gracias!