A client is thought to have experienced smoke inhalation during a ...

[NguyenJ]

A client is thought to have experienced smoke inhalation during a home fire. The nurse's priority of care would be to monitor for:
 
  1. dark brown urine.
  2. abdominal pain.
  3. edema of the upper airway.
  4. release of cortisol.

Question 2

A client is experiencing a full-thickness burn. What should the nurse expect to assess for this burn?
 
  1. Damage has occurred to the epidermis
  2. Damage has occurred to the muscle
  3. Damage is noted in the dermis
  4. The damage has made the skin pink

[tanna.moeller]

Answer to Question 1

Answer: 3

1. Dark brown urine is not likely to occur with smoke or inhalation burn.
2. Abdominal pain is not the immediate result of an inhalation burn injury.
3. The nurse's priority of care is maintaining the airway. Irritation from smoke or burns will cause swelling that can cut off the client's airway.
4. The nurse will not see the release of cortisol, which is not an immediate concern for the client.

Answer to Question 2

Answer: 2

1. The epidermis involves the top layer of skin and is a superficial burn.
2. Muscle involvement indicates deep tissue involvement and a full-thickness burn.
3. Damage only as far as the dermis is considered a partial-thickness burn.
4. Pink skin would indicate a superficial burn.