A patient is admitted to the burn unit after being transported from a facility 1000 miles away. The patient has burns to the groin area and circumferential burns to both upper thighs
When assessing the patient's legs distal to the wound site, the nurse should be cognizant of the risk of what complication?
A) Ischemia
B) Referred pain
C) Cellulitis
D) Venous thromboembolism (VTE)
Ans: A
Feedback:
As edema increases, pressure on small blood vessels and nerves in the distal extremities causes an obstruction of blood flow and consequent ischemia. This complication is similar to compartment syndrome. Referred pain, cellulitis, and VTE are not noted complications that occur distal to the injury site.
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