A nurse is teaching a client with a partial-thickness wound how to wear the elastic pressure garment. How often should the nurse instruct the client to wear this garment?

During waking hours for 2 to 3 months after the injury

4 to 6 hours a day for 6 months

Only at night while sleeping for a year after the injury

Continuously

Answer and Explanation

The Correct Answer is D

A. During waking hours for 2 to 3 months after the injury: Wearing the garment only while awake provides insufficient pressure to control hypertrophic scarring. These garments require near-continuous wear for many months to achieve adequate collagen remodeling.

B. 4 to 6 hours a day for 6 months: This amount of daily use is far too limited to influence scar tissue formation. Pressure therapy must be applied almost continuously to keep collagen fibers flattened and prevent thick, raised scars.

C. Only at night while sleeping for a year after the injury: Night-only wear does not maintain the necessary constant pressure needed for optimal scar management. Scar tissue forms throughout the day, and removal for long hours reduces therapeutic effect.

D. Continuously: Elastic pressure garments are typically worn 23 hours per day for many months to control hypertrophic scarring. Continuous pressure supports proper collagen alignment and reduces scar thickness.

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Correct Answer is C

Explanation

A. pulmonary edema: Pulmonary edema presents with crackles, dyspnea, and frothy sputum, but it does not typically cause a hoarse voice or a brassy cough. These findings point more specifically to airway irritation rather than fluid accumulation in the lungs.

B. pneumonia: Pneumonia usually causes fever, productive cough, and abnormal breath sounds. It does not typically produce hoarseness or a brassy cough immediately after a burn injury, making it a less likely explanation for these acute airway symptoms.

C. inhalation injury: Hoarseness and a brassy cough strongly suggest thermal or chemical injury to the upper airway. Burns to the face, neck, and shoulders increase the likelihood of smoke inhalation, and these symptoms indicate airway swelling, which can rapidly progress to obstruction.

D. carbon-monoxide poisoning: Carbon monoxide poisoning presents with headache, confusion, and cherry-red skin coloration, but it does not cause hoarseness or irritation of the airway. A brassy cough is not characteristic of this condition.

A. Hyperphosphatemia, a change in the LOC, and dysrhythmias B. Dysrhythmias, hypertension, and a change in the LOC C. Hypertension, muscle cramping, and nausea D. Muscle cramping, dysrhythmias, and hypotension

Correct Answer is D

Explanation

A. Hyperphosphatemia, a change in the LOC, and dysrhythmias: Hyperphosphatemia is more a chronic issue in kidney disease, not an acute dialysis complication. While LOC changes and dysrhythmias can occur, the combination is incomplete for typical dialysis complications.

B. Dysrhythmias, hypertension, and a change in the LOC: Hypertension is less common during dialysis; hypotension is more frequently observed due to fluid removal. This combination does not reflect the most common acute complications.

C. Hypertension, muscle cramping, and nausea: Muscle cramping and nausea are relevant, but hypertension is not typical during dialysis. Hypotension, not elevated blood pressure, is a more frequent acute complication.

D. Muscle cramping, dysrhythmias, and hypotension: These are the most common complications during dialysis. Hypotension results from rapid fluid removal, muscle cramping occurs due to fluid and electrolyte shifts, and dysrhythmias can arise from electrolyte imbalances, particularly potassium changes. Monitoring for these ensures client safety.

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A nurse is teaching a client with a partial-thickness wound how to wear the elastic pressure garment. How often should the nurse instruct the client to wear this garment?

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