You are working the day shift on

You are working the day shift on the medical-surgical unit in a small rural community hospital. Your assignment includes an 18-year old woman, Ann, admitted the previous night. Ann was caught in a house fire and sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back. History: Ann was sleeping when the fire started and managed to make her way out of the house through the thick smoke. Ann has a history of being overweight but is currently of normal weight through healthy eating. Ann is in school and works teaching small children after school at the local community center. Ann’s family is supportive but also sustained injuries during the fire so she is currently alone in her hospital room. You are concerned about possible smoke inhalation. What assessments would you complete and what findings would corroborate this concern? 2.Ann is concerned about visible scars. What will you tell her to calm her fears? 3. A special diet is ordered for Ann with increased proton and calories. Ann is concerned about this diet and the portion sizes. What diet-related teaching will you provide to her? Tissues under and around Ann’s burns are severely swollen. She looks at you tearfully and asks, “Will they stay this way?”. What is your answer?

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