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Patient Profile G.M., a 52-year-old married white

Patient Profile G.M., a 52-year-old married white man, arrives at the emergency department with burns to his entire face, chest, right arm and hand, and right foot. When the fire went out of control, he was burning brush on his farm. He has an 18-gauge IV with NSS running at 100 mL/hr, and he is receiving 100% humidified O2 by mask. Subjective Data •Complains of blurry vision and trouble swallowing •States his burns are painful and that he is scared •States he is a “diabetic” and has “high blood pressure.” Physical Examination •Is awake, alert, and oriented but in some distress •Eyes are red, irritated •Voice is hoarse; nasal hair is singed •Face is reddened with blisters noted on the nose and forehead •Right arm, right hand, chest, neck, and right foot have shiny, bright red, wet wounds •Patient is shivering 1. What measures should be taken to support G.M.’s caregivers? 2. Based on the assessment data presented, develop three priority nursing diagnoses. Identify any collaborative problems? SCIENCE HEALTH SCIENCE NURSING NURS 365

 
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