A nurse is caring for a client who has full-thickness burns over 75% of his body. The nurse should use which of the following methods to monitor the cardiovascular system?

Auscultate cuff blood pressure.

Monitor the pulmonary artery pressure.

Palpate pulse pressure.

Obtain a central venous pressure.

Answer and Explanation

The Correct Answer is B

A. Auscultating blood pressure may not be as reliable in burn patients due to fluid shifts and potential damage to peripheral tissues.

B. Monitoring pulmonary artery pressure provides crucial information about the cardiovascular system's status, including fluid balance and cardiac function, which are essential in the care of clients with severe burns.

C. Palpating pulse pressure alone is insufficient for thorough cardiovascular monitoring in critically ill burn patients.

D. Central venous pressure provides information about fluid status but does not offer the comprehensive cardiovascular data needed for extensive burn management.

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Correct Answer is C

Explanation

A. A 30° angle is too low and may increase the risk of aspiration; a 90° sitting position is preferred for safe swallowing.

B. Coughing while swallowing is not recommended as it may increase the risk of choking.

C. Tilting the head forward while swallowing helps to close the airway and reduce the risk of aspiration, which is crucial in dysphagia management.

D. Food should be placed on the stronger side to improve control and reduce aspiration risk.

A. Widening pulse pressure B. Increased deep tendon reflexes C. Increased heart rate D. Pulse oximetry 96%

Correct Answer is C

Explanation

A. Widening pulse pressure is more indicative of increased intracranial pressure or septic shock, not hypovolemic shock.

B. Deep tendon reflexes are typically not increased in hypovolemic shock.

C. Increased heart rate is a compensatory response to hypovolemic shock as the body attempts to maintain cardiac output.

D. A pulse oximetry reading of 96% would not typically indicate hypovolemic shock; decreased oxygen saturation is more consistent with hypoxia.

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A nurse is caring for a client who has full-thickness burns over 75% of his body. The nurse should use which of the following methods to monitor the cardiovascular system?

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