To best assess the child with severe burns for adequate ...

[Cooldude101]

To best assess the child with severe burns for adequate perfusion, the nurse monitors:
 
  a. Distal pulses. c. Urine output.
  b. Skin turgor. d. Mucous membranes.

Question 2

The family of a 4-month-old infant will be vacationing at the beach. The best recommendation to this family is to:
 
  a. Use sun block on the infant's nose and ear tips.
  b. Use a topical sunscreen product with a sun protective factor of 15.
  c. Expose the infant to the sun for 15-minute increments.
  d. Keep the infant in total shade at all times.

[Rilsmarie951]

Answer to Question 1

ANS: C
Urine output reflects the adequacy of end-organ perfusion. Distal pulses may be affected by many variables. Urine output is the most reliable indicator of end-organ perfusion. Skin turgor is often difficult to assess on burn patients because the skin is not intact. Mucous membranes do not reflect end-organ perfusion.

Answer to Question 2

ANS: D
The infant should be kept out of the sun or physically shaded from it. Fabric with a tight weave, such as cotton, offers good protection. Infants should be covered with clothing or kept in the shade to prevent sun damage to the delicate skin at all times. The blocker can protect the nose and ear tips, but none of the infant's skin should be exposed even for short time periods. Sunscreens should not be used extensively on infants younger than 6 months.