An explosion of a fuel tanker has resulted in melting of clothing on the driver and extensive full-body burns. The client is brought into the emergency department alert, denying pain, and joking with the staff
Which is the best interpretation of this behavior? A) The client is in hypovolemic shock.
B) The client has experienced extensive full-thickness burns.
C) The paramedic administered high doses of opioids during transport.
D) The client has experienced partial-thickness burns.
B
Feedback:
In full-thickness burns, nerves are damaged and consequently painless. Behavior change is not a significant symptom of hypovolemic shock. Opioids are used in the management of pain associated with partial-thickness burns but not significant in the behavior exhibited. Partial-thickness burns are associated with increased pain to the area of involvement.
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