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.
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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Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Used linens do not need to be disposed of in the trash but should be laundered to prevent contamination.
B. Wearing a mask, gloves, and gown helps protect immunosuppressed clients from potential infections.
C. Restricting visitors who have active infections prevents the spread of infections to the client.
D. Instructing the client to eat only cooked foods reduces the risk of foodborne infections.
E. Limiting bathing is not necessary; in fact, good hygiene practices are essential to prevent infections.
Correct Answer is B
Explanation
A. Obtaining a dietary history is relevant for ongoing management but is not the initial priority.
B. Reviewing electrolyte values is essential because exacerbations of ulcerative colitis can lead to severe fluid and electrolyte imbalances, which need prompt correction.
C. Investigating emotional concerns is important but does not take precedence over addressing potential electrolyte imbalances that can be life-threatening.
D. Checking perianal skin integrity is relevant for comfort but is not the priority in stabilizing the client during an acute exacerbation.
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