Burns and Burn Injury Q 65 - Gyan Darpan : Learning Portal
Get GK Updates on WhatsApp

Post Top Ad

Thursday, 31 March 2022

Burns and Burn Injury Q 65

A 40-year-old male client who was burned was admitted under your care. Assessment reveals he has crackles, respiratory rate of 40/min, and is coughing up blood-tinged sputum. What action will the nurse take first?
    A. Administer digoxin
    B. Perform chest physiotherapy
    C. Monitor urine output
    D. Place the client in an upright position

Correct Answer: D. Place the client in an upright position

Pulmonary edema can result from fluid resuscitation given for burn treatment. This can occur even in a young healthy person. Placing the client in an upright position can relieve lung congestion immediately before other measures can be carried out.

Option A: Digoxin may be given later to increase cardiac contractility to prevent backup of fluid into the lungs. However, digoxin has the potential to cause bradyarrhythmias.
Option B: Chest physiotherapy will not get rid of the fluid and is not a priority among the choices. Chest physiotherapy is only applicable during the post-burn management of the patient.
Option C: Monitoring urine output is important. However, it is not an immediate intervention. Use the patient’s urine output and physiologic response to determine if the volume is adequate for resuscitation.

No comments:

Post a Comment

Post Top Ad