Which outcome best indicates that nursing interventions for impaired gas exchange have been effective? PaCO2 is 56 mm Hg. The patient is alert and oriented. Peripheral pulses are present and strong. A patient is having a surgical procedure done to promote peripheral tissue perfusion in an extremity with full-thickness circumferential burns. What term should the nurse use to document this procedure? 10 mL over the past hour.
After reporting these findings, which order should the nurse expect to be prescribed for this patient? Discontinue the IV fluid infusion. Change the IV fluid to dextrose and water. Increase the amount of IV fluid administered per hour. Decrease the amount of IV fluid administered per hour. The nurse is providing wound care to a patients skin graft donor sites used for burn treatment. For which type of wound is this nurse providing care?
After 3 days, the nurse notes that the patients temperature is newly elevated at 100. What should the nurse do first? Monitor the patient for further changes in mental status. A patient is admitted to the emergency department with chemical burns to the chest and abdomen. The RN immediately begins a sterile saline lavage. Apply ice to the burned area.
Prepare intravenous morphine for administration by the RN. The nurse is caring for a patient 3 days following a split-thickness burn injury from a fire. Which observation indicates that nursing interventions to promote cardiac output have been effective? Urine output is 1050 mL in 24 hours. Patient weight is 4 pounds less than admission weight. A patient is diagnosed with superficial partial-thickness burns.
How many days should the nurse instruct the patient that these burns will need to heal? What is this patients percentage of burned area? A patient wants to know how long it will take to know if a skin graft used to cover a burn site is successful. How many days should the nurse explain as needed for graft vascularization to occur? The nurse notes that a patient with full thickness burns has an increase in hematocrit level. What should the nurse realize is causing this change in laboratory value? A patient with a deep partial thickness burn is prescribed wet to dry gauze dressings.
Which type of debridement is the nurse performing with this dressing? Identify one or more choices that best complete the statement or answer the question. The nurse is caring for a patient who sustained a partial-thickness burn to the face. Which assessment findings should the nurse expect? The nurse is assisting with the care of a patient admitted to the emergency department with chemical burns across the chest and hands. Which actions should be included in the plan of care?
Apply ice packs to burn sites. Cover the patient with a clean sheet. Apply neutralizing agent to burn area. Obtain a history of the event and burning agent. Provide copious tepid water lavage for 20 minutes. The nurse is caring for a patient with extensive burns. For which systemic responses to the burn should the nurse monitor the patient? Which anatomical locations should the nurse expect to have a lower rate of graft success than other areas of the body? A victim of a fire in a manufacturing plant is brought to the emergency department. The HCP suspects this victim has sustained an inhalation injury.