Practice Question
Which interventions should a nurse include when planning care for a burn client as the wounds heal and in preparation for discharge?
Answer Choices:
Correct Answer:
Educate the client on scar management techniques.
Rationale:
🔥 Burn healing involves significant scar formation, especially after partial-thickness and full-thickness injuries.
🔥 Teaching scar management—such as pressure garments, moisturizing, massage, and sun protection—helps reduce hypertrophic scarring and improves long-term functional and cosmetic outcomes.
🔥 Early education prepares the client for ongoing care after discharge, when scar maturation continues for 12–18 months.
🔥 Scar care is essential for mobility, appearance, and self-esteem, making it a key part of discharge planning.
🔥 Therefore, including scar management education is appropriate and required in burn recovery instructions.
Instruct the client to limit food intake
🔥 Burn patients have a hypermetabolic state, meaning they require increased calories and protein, not restricted intake.
🔥 Limiting food causes poor wound healing, muscle wasting, and delayed recovery.
🔥 Nutritional intake must support tissue regeneration, immune function, and energy needs.
🔥 Weight gain is not a priority concern during burn recovery—adequate nutrition is.
🔥 Thus, instructing the client to limit food intake is unsafe and incorrect.
Recommend a heating pad for itching
🔥 Heating pads increase blood flow, which can worsen inflammation, increase pain, and risk burn injury on already sensitive skin.
🔥 Burn scars have reduced sensation, increasing the danger of accidental thermal injury.
🔥 Itching is treated with moisturizers, antihistamines, pressure garments, and cool compresses, not heat.
🔥 Heat can also aggravate dryness, worsening itch rather than relieving it.
🔥 Therefore, heating pads should never be recommended.
Advise avoiding range-of-motion exercises
🔥 ROM exercises are essential in burn rehabilitation to prevent contractures, stiffness, and loss of mobility.
🔥 Avoiding activity leads to tightening of scar tissue, functional impairment, and long-term disability.
🔥 ROM therapy begins early and continues through the healing process.
🔥 Joints near burns are especially at risk for permanent contracture without movement.
🔥 Therefore, clients should not avoid ROM exercises—they are required for recovery.
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This question is from ati Custom LPN Medical Surgical III NSG 2440 Exam 2 Fall 2025 which contains 46 questions.
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From Exam
ati Custom LPN Medical Surgical III NSG 2440 Exam 2 Fall 2025
46 Questions
View Full Exam Start PracticingQuestion Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4