A 42-year-old client was admitted with second- and third-degree burns over 45% of the body. The nurse identifies the initial goal in treatment for these burns as:
A)
preventing scarring and infection.
B)
preventing dehydration and infection.
C)
combating shock and preventing infection.
D)
preventing hemorrhage and shock.
C
Explanation:
A)
Loss of fluids puts the client with major burns at great risk for shock; loss of tissue integrity puts the client at risk for infection. These are higher priorities initially than scarring. Dehydration occurs in the diuretic stage of burns.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
B)
Loss of fluids puts the client with major burns at great risk for shock; loss of tissue integrity puts the client at risk for infection. These are higher priorities initially than scarring. Dehydration occurs in the diuretic stage of burns.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
C)
Loss of fluids puts the client with major burns at great risk for shock; loss of tissue integrity puts the client at risk for infection. These are higher priorities initially than scarring. Dehydration occurs in the diuretic stage of burns.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
D)
Loss of fluids puts the client with major burns at great risk for shock; loss of tissue integrity puts the client at risk for infection. These are higher priorities initially than scarring. Dehydration occurs in the diuretic stage of burns.
Application
Implementation
Physiological Integrity: Reduction of Risk Potential
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