A patient develops fever, worsening wound pain, purulent drainage, and hypotension five days after a major burn. Which finding requires the most urgent response?
Correct answer: C. Hypotension with altered level of consciousness
- A. Dry skin around the healing wound
- B. Increasing urine output over the last shift
- C. Hypotension with altered level of consciousness
- D. Mild itching at the edge of the dressing
Explanation
Hypotension with altered consciousness indicates poor organ perfusion and possible septic shock in this context. Septic shock requires urgent escalation, cultures and prescribed treatment, whereas itching may occur during healing.
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About Burns and Trauma Nursing
Covers the initial and continuing care of patients with burns, haemorrhage, fractures, head injury, chest trauma and shock. It includes burn depth and surface-area estimation, airway protection, fluid resuscitation, wound care, infection prevention, pain management and the distinction between hypovolaemic, septic and neurogenic shock.
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50 free Burns and Trauma Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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