NRSG 653 - Theoretical and Professional Foundations of Nursing-Wk13 Case Study Burns Student

NRSG 653 - Theoretical and Professional Foundations of Nursing-Wk13 Case Study Burns Student A 69 year old female patient, J.L., is admitted through the ED after she was burned by the explosion of a paint can thrown into her outdoor burn pile. She is awake and oriented but agitated and unable to report about the accident. She is reporting severe pain in her face, neck and right arm. Her voice is raspy and she says she is cold and shivering. Hair on her head and arms are singed. She has areas of redness, waxiness and blisters covering her face, anterior neck, all of her right arm, chest, abdomen and anterior surface of her left arm. VS: BP (thigh) 110/52, HR 132, RR 36. Medical history includes MI seven years ago followed by chronic heart failure. Meds: Accupril 20mg PO QD, Lasix 20mg PO QD, Pravachol 40mg PO QD. 1. For each of the following nursing interventions, write a number in the blank to indicate the appropriate order of the tasks. a. Administer IV Morphine 6 b. Administer IV fluids 5 c. Administer 100% humidified O2 1 d. Administer prophylactic tetanus toxoid 9 e. Establish IV access 2 f. Initiate appropriate wound care 8 g. Insert indwelling urinary catheter 7 h. Prepare for endotracheal intubation 3 i. Estimate body surface area burned 4