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colleen colleen
wrote...
Valued Member
Posts: 17077
11 years ago
A patient with third-degree burns to her face just learned that she will have extensive scarring once the burn heals. Which of the following nursing diagnoses would be applicable to this patient at this time?
1. Powerlessness
2. Potential for Infection
3. Fluid Volume Deficit
4. Risk for Ineffective Airway Clearance
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Sunshine ☀ ☼

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Replies
wrote...
Valued Member
11 years ago
1 -- This patient can begin to experience powerlessness in that she has no control over the outcome of healing on scar formation to her face. The nurse should allow the patient to express feelings in efforts to help the patient cope with the news of potential scarring. The patient with a third-degree burn is at risk for infection, however, this question is focused on the impact of her facial scarring. There is inadequate information to determine the patient’s risk for fluid volume deficit or ineffective airway clearance. Further, this is not the focus of the question.
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