In a burn patient with eschar formation around an entire arm, the nurse will include frequent assessment of:
1. urine output.
2. pain level.
3. capillary refill.
4. breath sounds.
3
Eschar that encompasses a limb can compromise the circulation.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1151
OBJ: 5 TOP: Eschar: Impaired Circulation
KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environment
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