A 42-year-old client was admitted with partial and full-thickness burns over 45% of the body. The nurse identifies that the initial goal in treatment for these burns would be:
1. preventing dehydration and infection.
2. preventing scarring and infection.
3. combating shock and preventing infection.
4. preventing hemorrhage and shock.
Answer: 3
1. Loss of tissue integrity puts the client at risk for infection. Dehydration occurs in the diuretic stage of burns.
2. Loss of tissue integrity puts the client at risk for infection. Scarring is not a high priority at this time.
3. 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.
4. Loss of fluids puts the client with major burns at great risk for shock; the client is not at risk for hemorrhaging.
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