A patient has a circumferential full-thickness burn around the chest. The nurse observes reduced chest expansion and increasing work of breathing. Which intervention should the nurse anticipate?
Correct answer: B. Preparing for an escharotomy
- A. Applying a tighter chest dressing
- B. Preparing for an escharotomy
- C. Massaging the burned chest wall
- D. Placing the patient flat without support
Explanation
A tight eschar around the chest can restrict ventilation as swelling develops. An escharotomy releases the constricting burned tissue, whereas a tighter dressing would worsen restriction.
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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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