Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
expand_more
expand_more
format_list_bulleted
Question
A. You are assigned to care for a 34-year-old female patient who has sustained second- and third-degree burns over her neck, chest, abdomen, and left arm. The burn injury occurred during a fire in her home; her spouse did not survive the fire, but, due to the patient’s critical condition, she is not aware of his death. She is currently in the surgical intensive care unit. Her body temperature is 36.6°C. Her pulse is 126. Her respiration rate is 12. Her blood pressure is 104/60. She is sedated with a continuous infusion of Propofol and is intubated and on a mechanical ventilator. She has a right femoral triple lumen catheter and a right radial arterial line. The patient weighs 60 kg. (Le
Using the rule of nines, calculate the patient’s total body surface area burned.
Based on a calculation of 31.5% body surface area burned, and using the Parkland Formula, how much fluid resuscitation should the patient receive in the first 8 hours?
What clinical manifestations would be expected based on the extent and location of her burn injuries?
Prioritize nursing diagnoses and collaborative problems for this patient.
B. Phyllis Malcom, a 32-year-old patient, is admitted to the burns unit after having full-thickness burns of the face, arms, chest, and abdomen. The patient was driving home with a can of gasoline in the back seat floorboards to use in the lawn mower when she lit a cigarette and the fumes led to an explosion. The patient was brought to the burn unit for treatment. (Learning Objective 6)
What are the goals of burn care?
What is the role of the nurse during the management of the wounds?
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
This is a popular solution
Trending nowThis is a popular solution!
Step by stepSolved in 2 steps
Knowledge Booster
Similar questions
- M. J. is a 76-year-old woman who lives on the side of a very steep mountain. The home health nurse has visited her once a week for the last year. She has running water, electricity, and a coal stove with back-up oil heat for very cold winter nights. She uses the telephone for communication. She has diabetes mellitus, hypertension, hypothyroidism, and is in atrial fibrillation. She has never been in the hospital before. Her current medications include metformin (250 mg twice a day), losartan (50 mg/day), levothyroxine sodium (Synthroid) (50 mcg/day), digoxin (0.125 mg/day), furosemide (Lasix) (10 mg/day), aspirin (81 mg/day), simvastatin (20 mg/day), and warfarin (Coumadin) (4 mg/day, with 6 mg on Sundays). Allergies are to penicillin (hives) and to metoprolol (hypotension and dizziness). M. J. stopped smoking 5 years ago, but until then she smoked one-half pack a day. Last laboratory test results (1 week ago) were: hemoglobin A1C (Hgb A1C) 8.3, international normalized ratio (INR) 1.7,…arrow_forwardCase Scenario/Description Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team…arrow_forwardMrs. Harris is a thin, 84-year-old widow who is a resident of a long-term care nursing facility. She had a CVA 1 ½ years ago and suffers from right hemiplegia and dementia. She is also incontinent of urine and stool and is confined to her bed or wheelchair. She recently had a bout of pneumonia and was admitted to acute care. She has now returned to the nursing home, having lost 7 lbs over the last three weeks. She is very weak and her blood work indicates that she is anemic. What factors indicate that Mrs. Harris is at risk for the development of decubitus ulcers? Include a brief reason for each factor. What factors indicate that Mrs. Harris is at risk for the development of contractures? Include a brief reason for each factor. What measures would be appropriate in the management of her care with regard to these two potential complications – decubitus ulcers and contractures? Include a brief reason for each measure.arrow_forward
- Mrs. Pember is a 90-year-old nursing home resident who is admitted with a urinary tract infection and fever. She is admitted to the ICU with hemodynamic instability. She is NPO and has received all nutrition and hydration via PEG tube for the last 2 years after developing dysphagia following an acute stroke. Other PMHx: HTN CAD Arthritis Depression GERD H/o aspiration pneumonia Ht: 5 ft 2 in Wt: 104 lb Usual wt per nursing home records: 109 lb last week (Range of 107-109 lb over the last 3 months) Nutrition-Focused Physical Exam Results: Skin turgor: moderate skin tenting, mucous membranes are dry, eyes are sunken Edema: None Muscle mass: Muscles adequately defined Fat mass: Mild fat loss at the triceps and under the eyes Admission Basic Metabolic Panel (BMP) Results: Na 152 K 3.8 Cl 110 CO2 28 BUN 36 Creatinine 2.2 Glucose 156 GFR 55 Enteral feeding plan at the nursing home: She has been stable on…arrow_forwardFORM ADPIE FROM THE FF SITUATION; (ASSESSMENT, DIAGNOSIS, PLANNING, INTERVENTION, EVALUATION) based on the ff situation: DRUG: Erythromycin Age: 7 Sex: F Educational status: N/A Occupation: Pupil Weight and BMI: 23 KGS/NORMAL Blood pressure: 80/40 Heart rate: 90 Respiratory rate: 20 Temperature: 36.2 Diagnosis: Conjunctivitis, Left eye Chief complaint: Red eyes, discharges in eyes Prescription: Erythromycin 2% ointment in lower conjunctivaarrow_forwardCase 1: The Cold Colonel You are called upon to visit the ailing Col. Lemon. Before you see him, you speak with three witnesses who were with him when he fell ill. Witness statements: I Ms. Magenta: “Col. Lemon has been hot-blooded for as long as I've known him. But I noticed that he couldn't seem to keep warm. He kept complaining about being cold..." I Mr. Olive: “Just between you and me, I've noticed that the old chap has put on quite a bit of weight lately." I Professor Purple: “The colonel and I used to go on major expeditions together. Now he just doesn't seem to have the energy to do much of anything."arrow_forward
- Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing early this morning. The incision is closed with staples; the edges are well…arrow_forwardwrite a sick note on walking pneumonia. write a note addressed to your child’s teacher about why your child will not be at school. The child’s illness must include symptoms, prognosis, and treatment. sick note will be 1 page in length double-spaced and include any necessary information for a child’s absence from school.arrow_forwardexplain the scope of practice for EMTs in arizona. Is the scope of practice dictated by the state or facility the EMT works for? Does the scope of practice vary from state to state?arrow_forward
- nurse intervention for Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing. Burns 30% TBSA – Face, hands, bilateral lower limbs. Complaints of severe pain and burning 10/10. Past Medical History: Hypertension, Type II DM Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID.arrow_forwardb) Imagine that you are a nurse and that you are advising one of your patients. Provide three lifestyle practices that you will suggest to them and for each practice, explain how it helps (at the cellular level) to prevent or slow the progression of atherosclerosis. Ple pointsarrow_forwardCase Scenario/Description Case:Location: Medical-Surgical UnitTime: 0800Report from night shift charge nurse:Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team…arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
- Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:SaundersFundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning
Phlebotomy Essentials
Nursing
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession...
Nursing
ISBN:9780323414425
Author:Robert J Hubert BS
Publisher:Saunders
Fundamentals Of Nursing
Nursing
ISBN:9781496362179
Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:Wolters Kluwer,
Fundamentals of Nursing, 9e
Nursing
ISBN:9780323327404
Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:Elsevier Science
Study Guide for Gould's Pathophysiology for the H...
Nursing
ISBN:9780323414142
Author:Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...
Nursing
ISBN:9781337406291
Author:Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:Cengage Learning