The nurse is caring for a patient with burns to the hands, feet, and major joints. The nurse plans care to include which of the following? (Select all that apply.)
a. Applying splints that maintain the extremity in an extended position
b. Implementing passive or active range-of-motion exercises
c. Keeping the limbs as immobile as possible
d. Wrapping fingers and toes individually with bandages
A, B, D
It is important to avoid immobility in patients with burns of the hands, feet, or major joints. Measures must be taken to maintain the function of the hands, feet, and major joints. Nursing interventions to maintain range of motion, applying splits to keep the extremities in a position of function, and individually wrapping fingers and toes are necessary to maintain function of the hands, feet, and joints. Effective pain management is necessary to encourage mobility.
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