Question

The nurse is continuing to care for the child. Exhibit 1

Nurses' Notes
0800:
Child is awake, watching cartoons on TV, and parent is at bedside. IV site in right antecubital is without redness or edema and dressing is dry and intact. Dressings to left arm and hand, anterior neck, and anterior chest are moderately saturated with serous drainage and several small spots of serosanguineous drainage. Dressings remain intact and smell malodorous.
Breath sounds are equal and clear bilaterally. Respirations are unlabored. Abdomen is soft and nondistended. Mucous membranes are moist. Skin turgor is slightly brisk.
Pupils are equal, round, and reactive to light and accommodation. Child is oriented to place, time, and name.
When child attempts to move, they begin to cry. Child reports pain as 8 on the FACES scale.
Noted a 1 cm x 2 cm stage 1 pressure injury on the right side of the occiput.
Prepared child and parent for transport to hydrotherapy and debridement scheduled for 0830.
0815:
Pediatric Burn Unit Nurses' Notes
Provider notified of 0800 assessment and vital signs. Provider will examine child during hydrotherapy. Morphine given for pain rating of 8 on FACES pain rating scale.
Child transport
what action was taken after the initial assessment?
a) The provider was notified of the assessment and vital signs.
b) The child was prepared for hydrotherapy and debridement.
c) Morphine was administered for pain rated at 8 on the FACES scale.
d) The saturated dressings on the left arm and chest were changed.

Answer 1

The provider was notified of the assessment, the child was prepared for hydrotherapy and debridement, and morphine was administered for pain management. So, the correct option is b) The child was prepared for hydrotherapy and debridement.

Step-by-step explanation:

After the initial assessment, several actions were taken to care for the child. Notably:

The provider was notified of the assessment and vital signs.

The child was prepared for hydrotherapy and debridement, which was scheduled for 0830.

Morphine was administered for pain rated at 8 on the FACES scale to manage the child's pain.

The saturated dressings on the left arm and chest were not changed at this time, as this was not mentioned in the nurse's notes provided.

Therefore, the correct option is b) The child was prepared for hydrotherapy and debridement.