A nurse is caring for a client who sustained a partial thickness burn to the lower leg accounting for 5% of the total body surface area 1 day ago. A primary short-term outcome established by the nurse and client is “The client’s:
ExplanationD. Partial-thickness burns are very painful; this outcome is specific, realistic, and measurable.
A. This is the priority if the burns involved the head or anterior thorax.
B. Although important, this is not the primary goal at this time.
C. Ensuring urine output is generally more of a concern with burns that involve more than 5% of the body’s surface area.