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 ["A","B","D"]
Explanation
Choice A reason: Genetics play a significant role in the development of multiple sclerosis (MS). While MS is not directly inherited, certain genetic markers can increase susceptibility. Studies have shown that individuals with a first-degree relative with MS have a higher risk compared to the general population.
Choice B reason: Environmental factors, such as low vitamin D levels, smoking, and possibly viral infections, are believed to contribute to the risk of developing MS. Geographic location, particularly living further from the equator, has also been associated with a higher incidence of MS, which may be related to sun exposure and vitamin D synthesis.
Choice C reason: While upper respiratory infections can trigger exacerbations in individuals with existing MS, they are not identified as a direct contributing factor to the development of the disease itself.
Choice D reason: MS is considered an autoimmune disorder where the immune system mistakenly attacks the central nervous system. This immune-mediated process targets the myelin sheath, leading to inflammation and characteristic lesions.
Choice E reason: Urinary tract infections are a common complication in individuals with MS due to bladder dysfunction, but they are not a contributing factor to the development of MS.
Correct Answer is A
Explanation
Choice A reason: Packed RBCs should be transfused as soon as possible once the nurse has prepared everything necessary for the transfusion.
Choice B reason: Waiting 2 hours after obtaining the blood is not necessary and could delay needed treatment.
Choice C reason: The client's mealtime should not delay the transfusion of blood, which is a time-sensitive medical treatment.
Choice D reason: While the client's readiness is important, it should not unduly delay the transfusion if the client is medically stable and the transfusion is necessary.
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