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What should the nurse primary concern be here?
A client with a solar burn of the chest, back, face, and ARMS is seen in urgent care.



A. Fluid resuscitation
B. Infection
C. Body image
D. Pain management

This question is part of Medical Surgical Nursing Test II (Practice)- www.RNpedia.com
Asked by RN pedia, Last updated: Feb 20, 2020

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3 Answers

J. Emmerich

J. Emmerich, Web Content Writer, New York City

Answered Dec 26, 2018

The correct answer would be D, pain management. Solar burns - or sun burns - can be harmful to skin and can leave the person in a lot of pain. If the sunburn is very bad and blistering, infections (answer B) could be a problem, but it would be monitored and wouldn’t be a big concern as far as primary things go until it got bad or wasn’t caught in time.

Fluid resuscitation would also be something a nurse would keep on her list of potential worries, but wouldn't worry about unless the sunburn was bad enough to damage lower layers of skin too. Body image could be solved after the sunburn heals, so answer C is way down on that nurse’s list of priorities for this patient.

 

G. Roland

G. Roland, Professor, Austin

Answered Oct 23, 2018

Option D - pain management is the right answer.
Client pain should be the nurse's primary concern here.

Fluid resuscitation and management of infection become a great concern if the burn reaches dermal and subcutaneous layer of the skin.

Body image is of lesser concern, this can be handled after the clients pain had been well managed.

 

John Smith

John Smith

Answered May 14, 2017

Pain management

With a superficial partial thickness burn such as a solar burn (sunburn), the nurses main concern is pain management. Fluid resuscitation and infection become concerns if the burn extends to the dermal and subcutaneous skin layers. Body image disturbance is a concern that has a lower priority than pain management.
 

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