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 C
Explanation
Choice A reason: A negative urine dipstick for nitrites is more indicative of a lack of bacterial infection and is not directly related to glomerulonephritis.
Choice B reason: While the absence of pain or burning with voiding is positive, it does not specifically indicate the resolution of glomerulonephritis.
Choice C reason: The resolution of periorbital and peripheral edema is a sign that the treatment for glomerulonephritis has been effective, as edema is a common symptom of this condition.
Choice D reason: A decrease in the anti-streptolysin-O (ASO) titer may indicate a response to treatment for a streptococcal infection, but it is not the most direct indicator of effective treatment for glomerulonephritis.
Correct Answer is A
Explanation
Choice A reason: Asking about numbness or tingling is important to rule out neurological issues that could be causing the neck pain.
Choice B reason: While heat and cold therapy may provide relief, it is not the first action to take before assessing the cause of the pain.
Choice C reason: Providing information about exercises is helpful but should come after an initial assessment.
Choice D reason: Teaching about NSAIDs is part of pain management but should follow an assessment of symptoms and potential causes.
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