Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher

Exercise 27

CASE STUDY: Cellulitis Patient Profile W.B., a 72-year-old man, cut his lower arm on a kitchen knife. At the time of the injury he did not seek medical attention. On the third day following the injury he began to be concerned about the condition of the wound and the way he was feeling. Subjective Data
• States he has a fever and has had a general feeling of malaise
• Has pain in the area of the cut and the entire lower arm Objective Data
• 4-cm area around cut is hot, erythematous, and edematous with redness extending both up and down his arm
• Temp: 100.8°F (38.2°C)
-What would you tell W.B.about the usual treatment of cellulitis? a.According to the Lund-Browder chart, what is the extent of the patient's burns?
______% total body surface area (TBSA) b.According to the rule of nines chart, what is the extent of the patient's burns?
______% TBSA c.Is it possible to determine the actual extent and depth of burn injury during the emergent phase of the burn? Why or why not?