The nurse is preparing to assist the burn surgeon in performing an escharotomy for a patient who has full-thickness circumferential burns that resulted in compartment syndrome. The nurse understands that the expected outcome of this procedure is to:
Enhance the formation of granulation tissue.
Ensure brisk bleeding from the sites so fluid volume status can be maintained.
Ensure the return of distal pulses.
Decrease edema formation.
The Correct Answer is C
Choice A reason: Enhancing the formation of granulation tissue is not the immediate expected outcome of an escharotomy.
Choice B reason: Ensuring brisk bleeding is not the goal; minimal bleeding is expected, and it should be controlled to maintain fluid volume status.
Choice C reason: Ensuring the return of distal pulses is the expected outcome of an escharotomy, as it relieves pressure and restores circulation to the affected limbs.
Choice D reason: Decreasing edema formation is a benefit of the procedure but not the primary expected outcome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Muscle dysfunction can be a consequence of COPD due to decreased activity levels, but it is not a risk factor for developing COPD.
Choice B reason: Poor nutrition can affect the overall health of individuals with COPD but is not a direct risk factor for developing the disease.
Choice C reason: Weight loss can occur in advanced stages of COPD due to increased energy expenditure from breathing difficulties, but it is not a risk factor for developing COPD.
Choice D reason: Increased risk for pneumonia is a direct risk associated with COPD, as the disease can compromise the respiratory system's ability to clear infections.
Correct Answer is D
Explanation
Choice A reason: While painful and red-tinged urination is a concern, it is not directly related to the intravenous pyelogram procedure.
Choice B reason: The end of the menstrual period is not relevant to the intravenous pyelogram procedure.
Choice C reason: Drinking fluids is generally encouraged but does not need to be reported unless it is restricted before the procedure.
Choice D reason: The client's allergy to shellfish is important to report because the contrast dye used in an intravenous pyelogram may contain iodine, which can cause a reaction in people with shellfish allergies.
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