A patient with third-degree burns to the face has just learned that there will be extensive scarring once the burn heals. For which patient problem should the nurse plan interventions?
1. Powerlessness
2. Infection
3. Lack of body fluids
4. Changes in airway maintenance
Correct Answer: 1
The patient has no control over the outcome of healing or scar formation and is likely to feel powerless. The nurse should allow the patient to express these feelings as part of coping with the news of likely scarring on the face. The patient with a third-degree burn is at risk for infection; however, this question is focused on the impact of facial scarring. There is inadequate information to determine the patient's lack of body fluids or changes in airway maintenance.
You might also like to view...
A patient who has had rheumatoid arthritis for years comes to the clinic to ask about changes in her fingers. The nurse will assess for signs of what problems?
a. Heberden nodes b. Bouchard nodules c. Swan-neck deformities d. Dupuytren contractures
The leading causes of death in the United States are due to:
A. Multifactorial inheritance B. Single gene mutations C. X-linked disorders D. Aneuploidy
The nurse is assisting the client to dangle on the bedside. After raising the head of the bed, in which position should the nurse face?
1. Toward the nearest corner of the head of the bed 2. Toward the side of the bed 3. Toward the far corner of the foot of the bed 4. Directly toward the client
An 85-year-old man accompanied by his son is unable to recall the medications that he is presently taking. The nurse should:
a. ask the question again. b. rephrase the questions. c. ask the son for the information. d. leave that part of the health history blank.