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 B

Explanation

A. Ambulating soon after surgery is encouraged to promote circulation and decrease the risk of VTE.

B. Massaging the legs is unsafe, as it can dislodge any existing clot, potentially leading to a pulmonary embolism.

C. Elevating the feet helps improve venous return and is a safe practice to reduce VTE risk.

D. Flexing the ankles is part of exercises that help promote blood flow and reduce clot formation risk.

A. Try jogging or running between flare-ups. B. Increase calcium intake. C. Avoid exercise during flare-ups. D. Establish a regular sleep pattern.

Correct Answer is D

Explanation

A. High-impact activities like jogging or running may worsen symptoms; low-impact exercise is preferred.

B. Increased calcium intake is not specifically recommended for fibromyalgia.

C. Avoiding all exercise during flare-ups is not advised, as gentle stretching or low-impact activities can often help alleviate pain.

D. A regular sleep pattern is essential, as quality sleep can improve symptoms and overall functioning in clients with fibromyalgia.

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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?

Nursing Test Bank

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