NCLEX-RN · Question #753
A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some gasoline ignited and caused an explosion. His father was killed, and the child has split-thickness and…
The correct answer is D. Potential for impaired gas exchange related to edema of respiratory tract. (A, B, C) These answers are all correct; however, maintenance of airway is the top priority. (D) Persons burned about the face and neck during an explosion are also likely to suffer burns of the respiratory tract, which can lead to edema and respiratory arrest.
Question
A 9-year-old child was in the garage with his father, who was repairing a lawnmower. Some gasoline ignited and caused an explosion. His father was killed, and the child has split-thickness and full-thickness burns over 40% of his upper body, face, neck, and arms. All of the following nursing diagnoses are included on his care plan. Which of these nursing diagnoses should have top priority during the first 24-48 hours postburn?
Options
- APain related to tissue damage from burns
- BPotential for infection related to contamination of wounds
- CFluid volume deficit related to increased capillary permeability
- DPotential for impaired gas exchange related to edema of respiratory tract
How the community answered
(45 responses)- A4% (2)
- B11% (5)
- C24% (11)
- D60% (27)
Explanation
(A, B, C) These answers are all correct; however, maintenance of airway is the top priority. (D) Persons burned about the face and neck during an explosion are also likely to suffer burns of the respiratory tract, which can lead to edema and respiratory arrest.
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