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.
Nurse collaboration
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Major muscles of the chest.
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