The nurse is assessing a client with a major burn for ...

[Ebrown]

The nurse is assessing a client with a major burn for complications. What would indicate a cardiovascular complication in this client?
 
  1. Constipation
  2. Compartment syndrome
  3. Presence of eschar
  4. Weight loss

Question 2

A client with major burn over 20 of the body has abdominal distention. The nurse suspects the client might have a paralytic ileus due to:
 
  1. a lack of intestinal motility.
  2. infection.
  3. decreased food intake.
  4. capillary leaks.

[Ddddd]

Answer to Question 1

Answer: 2

1. Constipation occurs as a result of decreased GI motility.
2. Compartment syndrome is a complication of the cardiovascular system.
3. Eschar is a substance that covers the burn wound that is debrided.
4. Weight loss would be significant of poor nutrition.

Answer to Question 2

Answer: 1

1. Following a major burn, fluids shift and intestinal motility decrease, which can cause a paralytic ileus.
2. A paralytic ileus is not due to infection.
3. The client with a major burn will be receiving nutrition via the IV route and will not be eating.
4. Capillary leaks that occur cause damage to the immune system.

[Ebrown]

Thank you

[Ddddd]

No problemo