A patient is admitted to the emergency department with deep ...

[aabwk4]

A patient is admitted to the emergency department with deep partial-thickness burns over 35  of the body. What IV solution will be started initially?
 
  1. warmed lactated Ringer's solution
  2. dextrose 5 with saline solution
  3. dextrose 5 with water
  4. normal saline solution

Question 2

The family of a patient with third-degree burns wants to know why the scabs are being cut off the patient's leg. What is the most appropriate response by the nurse?
 
  1. The scabs are really old burned tissue and need to be removed to promote healing.
  2. I'll ask the doctor to come and talk with you about the treatment plan.
  3. The patient asked for the scabs to be removed.
  4. The scabs are removed to check for blood flow to the burned area.

[Dinolord]

Answer to Question 1

Correct Answer: 1
Warmed lactated Ringer's solution is the IV solution of choice because it most closely approximates the body's extracellular fluid composition. It is warmed to prevent hypothermia. The other solutions are not the first choice in fluid resuscitation.

Answer to Question 2

Correct Answer: 1
The patient's family is describing eschar, which is the hard crust of burned necrotic tissue. Eschar needs to be removed to promote wound healing. Asking the doctor to discuss the treatment plan does not answer the family's question. It is unlikely that the patient requested that the eschar be removed. Scabs are not removed to check for blood flow.

[aabwk4]

Excellent

[emsimon14]

Gracias!