Question

Initial Management of a Patient with Burns (Questions: 2, 8, 9)

Patient Profile

M.J. is a 23-year-old white woman transferred via ambulance to the hospital after a fire in her apartment. She was asleep when the fire started and managed to make her way out of the apartment through the smoke. She sustained second- and third-degree burns over the right side of her face and neck, right side of the anterior trunk, two thirds of the lower right thigh, and the right arm. In the emergency department, she received a tetanus shot, morphine for pain, and 2 L of IV fluids.

Subjective Data

• Single; lives alone
• Attends local college part time while working full-time as a server
• Denies tobacco, alcohol, and drug use

Objective Data

Physical Examination

• Blood pressure 190/80, pulse 88, temperature 99°F, respirations 28
• Height 5’4”, weight 180 lb
• Voice is hoarse; singed nose hair
• Productive cough with moderate amounts of gray sputum
• Pupils equal, round, reactive to light and accommodation; right eye swollen
• Heart rate and rhythm regular; no murmur
• Lungs with wheezes throughout
• Bowel sounds diminished in all four quadrants
• Restless, states pain is at a level 10 on 10-point-scale
• Urinary catheter draining burgundy-colored urine
• Nasogastric tube is draining yellow-green drainage

Discussion Questions

2) What is the extent of M.J.’s burn injury, and how is it determined?

8) Because of her injury, M.J. is at high risk for infection. What measures will the nurse implement to reduce the risk of infection?

9) What interventions can the nurse use to address the emotional needs of a burn patient?

Answer 1

2) The extent of injury is refer that it is determine by total body surface area and rule of nines for estimating burn perentage. The danger of burns depends on the area of the burns rather than degree

8) a.Initate strict protective isolation techniques:

b.Maintain strict hand washing

c.Use sterile sheets and linen

d.When caring patients use gloves,caps,mask scrub clothes and plastic aprons.

e.Keep the room temperature warm

9)The intervention which the nurse use to address the emotional needs of burn patient are:

a.Provide counselling to them.

b.Psychological support

c.Teach relaxation techniques

d.Pain management