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Understanding Medical Surgical Nursing 5th Edition by Linda Williams, Paula Hopper
Edition 5ISBN: 978-0803640689Understanding Medical Surgical Nursing 5th Edition by Linda Williams, Paula Hopper
Edition 5ISBN: 978-0803640689 Exercise 1
Smith
Mr. Smith is a 28-year-old man who was welding close to a natural gas line. The flame of the welder caused the gas line to explode, throwing Mr. Smith 50 feet. He landed on his back. He is brought to the ED by the rescue squad. Mr. Smith is awake, alert, and oriented. He has soot around his mouth and nose. He sustained deep partial-thickness burns to his neck, upper chest, and both forearms. He reports pain from his burns and also thoracic back and hip pain. His pulse rate is 100 beats per minute. His blood pressure is 160/90 mm Hg. His respiratory rate is 20 per minute.
1. What is the first priority of care for Mr. Smith?
2. Is Mr. Smith at risk for respiratory burns? Why?
3. Are Mr. Smith's vital signs within normal limits?
4. Would wet or dry dressings be preferable for his large areas of deep partial-thickness burns? Why?
5. Mr. Smith is wearing a neck chain and a wedding ring. Should they be removed immediately, or should you wait until Mr. Smith's wife arrives to take them off? Why?
6. Mr. Smith continues to report hip and back pain. In reviewing his mechanism of injury, what other injuries could Mr. Smith have?
7. With what members of the health team should you anticipate collaborating?
Mr. Smith is a 28-year-old man who was welding close to a natural gas line. The flame of the welder caused the gas line to explode, throwing Mr. Smith 50 feet. He landed on his back. He is brought to the ED by the rescue squad. Mr. Smith is awake, alert, and oriented. He has soot around his mouth and nose. He sustained deep partial-thickness burns to his neck, upper chest, and both forearms. He reports pain from his burns and also thoracic back and hip pain. His pulse rate is 100 beats per minute. His blood pressure is 160/90 mm Hg. His respiratory rate is 20 per minute.
1. What is the first priority of care for Mr. Smith?
2. Is Mr. Smith at risk for respiratory burns? Why?
3. Are Mr. Smith's vital signs within normal limits?
4. Would wet or dry dressings be preferable for his large areas of deep partial-thickness burns? Why?
5. Mr. Smith is wearing a neck chain and a wedding ring. Should they be removed immediately, or should you wait until Mr. Smith's wife arrives to take them off? Why?
6. Mr. Smith continues to report hip and back pain. In reviewing his mechanism of injury, what other injuries could Mr. Smith have?
7. With what members of the health team should you anticipate collaborating?
Explanation
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1. The first priority care for Mr. Smith...
Understanding Medical Surgical Nursing 5th Edition by Linda Williams, Paula Hopper
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