What factor would the nurse evaluate as putting the patient at increased risk for converting a partial-thickness burn injury to a full-thickness injury?
1. The patient develops a wound infection.
2. Assessment of the lungs indicates fluid overload.
3. The patient develops pneumonia.
4. The patient's kidney function is compromised.
1
Rationale 1: Infection, trauma, and a decreased blood supply increase the risk of a partial-thickness injury converting to a full-thickness injury.
Rationale 2: Fluid overload would not affect the integrity of the burn wound. Hypovolemia could cause this conversion if it resulted in decreased blood supply to the wound.
Rationale 3: Pneumonia would not be a direct risk for conversion. If the patient became hypoxic, the wound would be affected.
Rationale 4: Compromise of kidney function is not directly related to this conversion.
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