8. Which of these measures should be included in the nursing care plan for a client with burns to
the lower extremities?
A. meticulous wound care
B. vital signs every 8 hours
C. daily weights
D. range-of-motion exercises
E. assess peripheral pulses
In the nursing care plan for a client with burns to the lower extremities, the following measures should be included:
A. Meticulous wound care:
- Cleaning and dressing the burn wounds to prevent infection and promote healing is crucial in the care plan. Proper wound care can help reduce the risk of complications.
D. Range-of-motion exercises:
- Implementing range-of-motion exercises can help prevent joint stiffness and muscle contractures, which can occur due to immobility. These exercises promote circulation and maintain flexibility in the affected extremities.
E. Assess peripheral pulses:
- Monitoring peripheral pulses in the lower extremities is important to assess the circulation and blood flow. Changes in pulse quality or absence of pulses could indicate circulation problems that need prompt attention.
These measures focus on wound management, mobility, and circulation, all essential aspects of caring for a client with burns to the lower extremities. Each measure plays a significant role in promoting the client's recovery and preventing complications.
