Author Question: A client has a circumferential burn of the leg. For which reason should the nurse notify the ... (Read 40 times)

OSWALD · **on:** Jun 25, 2018

A client has a circumferential burn of the leg. For which reason should the nurse notify the physician and prepare the client for surgery?

1. Mild swelling of the leg
2. Cool feet with absent pulses
3. Leaking from the wound
4. Stridor

Question 2

The nurse is preparing to change the dressing on the client with major burns to the chest. Prior to dressing the wound, the nurse should:

1. feed the client.
2. have the client void.
3. provide narcotic pain medication.
4. hydrate the client.

sierrahalpin · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 2

1. Mild swelling is expected with burns.
2. Cool feet and absent pulses indicate that the circumferential burn injury has caused compression of the circulation, which is an emergency. The client will undergo an escharotomy to relieve the compression and restore circulation.
3. Leaking would occur from an open wound.
4. Stridor would indicate swelling of the airway.

Answer to Question 2

Answer: 3

1. Wound care is very painful and can cause nausea. Care should be given prior to meals.
2. There is no reason for the client to void first. Most clients with extensive burns are catheterized.
3. Giving pain medication will reduce the discomfort and the client's anxiety.
4. The client is already hydrated with IV fluids.