Question

A patient suffered an electrical injury with the entrance site on the left hand and the exit site on the left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in this patient's plan of care?

1) Administering pain medication
2) Assessing for compartment syndrome
3) Applying a cooling gel to the burn sites
4) Elevating the affected extremities

Answer 1

The most important intervention for the nurse to include in this patient's plan of care is assessing for compartment syndrome.

Step-by-step explanation:

The most important intervention for the nurse to include in this patient's plan of care is assessing for compartment syndrome. Compartment syndrome is a serious condition that can occur when there is increased pressure within a muscle compartment, leading to compromised blood flow. In this patient's case, electrical injury can cause tissue damage and swelling, which can lead to compartment syndrome. Compartment syndrome can be identified by assessing for signs and symptoms such as severe pain, decreased sensation, and decreased pulse in the affected limb. If compartment syndrome is suspected, immediate intervention is needed to prevent further tissue damage. This may include surgical fasciotomy to relieve the pressure or close monitoring of the patient's condition.