A patient with a circumferential full-thickness burn of the forearm develops increasing pain, numb fingers, and a weak radial pulse. Which intervention should the nurse anticipate?
Correct answer: C. Escharotomy to release constricting tissue
- A. Elevation of the arm above heart level
- B. Immediate application of a tight compression bandage
- C. Escharotomy to release constricting tissue
- D. Routine cleansing with an antiseptic solution
Explanation
A circumferential burn can act like a tourniquet and impair distal circulation. Escharotomy releases the constricting eschar, while a tight dressing would worsen vascular compromise.
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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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