You are working in the emergency department (ED) of a community…

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Question Answered step-by-step You are working in the emergency department (ED) of a community… You are working in the emergency department (ED) of a community hospital when the ambulance arrives with a 28-year-old female who was involved in a house fire. She was sleeping with the fire started and managed to make her way out of the hours through the thick smoke. The EMS crew started humidified oxygen at 15L/min per non-rebreather mask and inserted a 16-gauge IV with Lactated Ringer’s solution at 150 mL/hr. Vital signs on arrival are:Blood pressure 100/66Heart Rate 125 bpmRespirations 34SPO2 93%She appears anxious and in pain.Describe what interventions are needed to care for this patient on arrival to the ED.You suspect that the patient has sustained deep partial-thickness burns. Which best describes this type of burn?The skin is blackened; the charred skin is numb.The wounds are red, blanch and have accompanying edema.The skin is mixed red to waxy white, moist, has blisters and is painfulThe wounds have severe edema, pain may or may not be present, and the color varies.Because you are worried about the possibility of smoke inhalation, what will you closely monitor for the patient?The patient is undergoing burn fluid resuscitation using the Parkland Formula. She was admitted at 0400 am. She weighs 154 pounds. Calculate her fluid requirements, specify the fluids to be used according to the Parkland formula, specify how much you will give, and at what time intervals.The patient’s wounds are being treated by the open method with topical silver sulfadiazine. In caring for this patient, which interventions will you perform? (Select All That Apply)Shave all the hair within the wound bedsMaintain the room temperature at 85 degrees FahrenheitUse clean technique when changing the dressingMonitor the CBC including WBC count frequentlyDo not allow her to bathe for the first 72 hrs. after injuryApply 1/16 inch film of medication, covering the entire burn Eighteen hours after the injury, the CAN reports these vital signs: Blood Pressure  90/50 mmHg Heart Rate 130 bpm Respirations  24/min Temperature 99.2What do you suspect is occurring, and why does this concern you?What treatment do you anticipate?By the end of your shift, which of the following assessment findings would best indicate that the patient is responding to therapy?Respiratory rate of 22; blood pressure 120/74Heart rate 110; urine output 20 mL/hr for the past 4 hoursBlood pressure 120/70; urine output 25 mL/hr for the past 4 hrsBlood pressure 104/64; urine output 40 mL/hr for the past 4 hrs Health Science Science Nursing Share QuestionEmailCopy link Comments (0)