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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Showing the patient that her leg is gone does not address the immediate concern of pain management.

Choice B reason: Administering the prescribed pain medication is the first step in managing phantom pain, which is a common experience for amputees.

Choice C reason: While it is important to validate the patient's experience of pain, the first action should be to address the pain medically.

Choice D reason: Telling the patient that it is not possible to feel pain in her toes is incorrect and dismissive of the phenomenon of phantom pain.

A. Stroke Volume B. Renin-Angiotensin-Aldosterone-System (RAAS) C. Brain and Atrial natriuretic peptides (BNP & ANP) D. Erythropoietin

Correct Answer is B

Explanation

Choice A reason: Stroke Volume refers to the amount of blood pumped by the left ventricle of the heart in one contraction, not to the regulation of ﬂuid volume and cardiac output.

Choice B reason: Renin-Angiotensin-Aldosterone-System (RAAS) is responsible for vasoconstriction, sodium retention, and water reabsorption, which helps to increase circulating ﬂuid volume and cardiac output.

Choice C reason: Brain and Atrial natriuretic peptides (BNP & ANP) actually work to decrease blood volume and pressure, not increase them.

Choice D reason: Erythropoietin primarily stimulates red blood cell production and does not directly aﬀect ﬂuid volume or cardiac output.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client in the PACU with a left below-the-knee amputation complains of pain in her left big toe. Which of the following would the nurse do first?

Correct Answer is B

Explanation

Vasoconstriction, sodium retention, and water reabsorption to increase circulating ﬂuid volume and cardiac output are the primary functions of:

Correct Answer is B

Explanation

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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:

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