After assessing an older adult client with a burn wound,the nurse documents the findings as follows:

Based on the documented data,which action should the nurse take next?

Question

After assessing an older adult client with a burn wound,the nurse documents the findings as follows:

Based on the documented data,which action should the nurse take next?

Quizplus · Accepted Answer

Older clients have a decreased immune response,so they may not exhibit signs that their immune system is actively fighting an infection,such as fever or an increased white blood cell count.They also are at higher risk for sepsis arising from a localized wound infection.The burn wound shows signs of local infection,so the nurse should assess for this and for systemic infection before the client manifests sepsis.Placing the client in an isolation room,calculating intake and output,and assessing the client's skin should all be implemented but these actions do not take priority over determining whether the client has an infection.

After Assessing an Older Adult Client with a Burn Wound,the